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1980 - 1981
a k ..?Yil: Rf 1 3 77 Pop BOARD OF DIRECTORS Se teni_ber 24 , X9$1 _ Date :r p - BlfS1h1CSS MINUTES 1 -rgratC~ presiding The Board of Directors of flow Memorial Hospital met inG'r+ ulan sessli`bn at Shelton, u Wi11i?,n September 24, 1981 With tor. Gthry Brad h'nore, and tdrs. 1,arJ Leonard Yia sso of Mr, 4lyatt. h`r, Gcorge Hi Mrs M pn rhenabsenceThursday, were present, as well as Mrs. YHlma F ritz, Mrs. Gloria Madev+ell, and Mr. previous meeting were read and approved with one correction- The minutes of the pr Old Businesr- _The..A'dministrator,reported thattttheonal. and General Electric monitors have been The new SpaceLabs monitors for Monitors- ? ' ive Care Unit fore use1 n a day or two, moved o e intens d the Coronary Care Unit are to ready E Hone Health Service--1t was reported that the Home Healthmp~edifromith.e D nton opera on a ow error al Hospital on October after being ti City-County Health Department. ost oned ntation Re ardin Lon -Ran eoaranmem ershat thiseMeettng. ad been p p press due to t a expects a Bence o tree 1 I New Business: ed th - d ai 1 y censu e Re ort--Mrs. Fritz reviewed theSh°eneXplainednthat theoaverag,3present th Of'i financ financia statements gust and waschar a-off lists. roducing';an excess.of ,re780U6rdV,theeBaddngebttC4targe } for, the month of-.Au 1.0,2 p roximate amount of 551,597 were revieres•o Mrs. Fritz was the asked t404aCD at number of 6,9g8.:. The days 'Chari accounts ty 'C)f $510ff fist in the amours en ti at'the number is 60 vrithno $7 V off List in the Mrs. Fritz remarked that nsued, sed vendor bilslaterthango daysboln and she al Bank matures next week, athisc motion was secondMr Moore ed anDenaston ed i ~i~ pilot point Nation as presented; that the Finance Report be approved OOO co be reinvested a by voice vote. Mr, Moore also moved that the at the highest possi County interest rate# either 94 days. or six months V~tQhble ° bank for assed by voice This motion was seconded and p ending since t te minutes of the hof deposit which hadvbeen pending and I Foundation Re ort--Mrs. Williams reates expla d halow-interest certi attic bronchoscop e as had`'bteberacceptedt s _tb d been re-invested. at higher interest rates., She also, noted that the,. January., ha reed to purchase the pe Foundation had ag Moore moved that the Foundation Repot by the Board of Directors. Mra voice vote. this motion was seconded and passed by or, Of I' Safet Committee--The Administrator r'evlewed the Mn othe from the Previous ues nand distributed. copies of the stsrmotlonewastseconde v Committee meeting of h Safety Report be accepts f incidents. Mr. Hilx move that the Safety tr, and passed by ,mice vote. vieretpresented and ded for various Qual-i--ty Accnurit hill ~~The mtnutes'of the previous"meeting d ;1 0 rev letionstifies~problemsdhospitalCV en Mr. Milz Proved k been ` sewed. x who 50 ' departments and hour the cammitte art be accepted; this was seconded.and passed''.by c that to Quality Accountability, p voice - ote, Utilization Review-~•TVre minttes of the previous meeting twere he dmission and re- ewed thQ ddtransfusions l angths fo - a the committee had revi viewed. r.,Yatson reported the { stay "Of govcrn~nental admissi ons, as well as.revie~ring al ir tdoore moved that the Utilization Review Report j of reaction. Mr. the ner.e's sit y and any be accepted, this was seconded and passed by voice vote. b „1,uawua i I /p[11<1uf 111 tlae c, ,t '1: {j ~l65$ BOARD OF DIRECTORS BUSINESS MINUTES Dare - _4 ~ ~z _ September 24, 1981 page 2 'edical Staff Report--In the absence of Or, Short, Mr, Shelton read the minutes^ of the recent Execut ve Committee Meeting and presented an application from Dr. ames Ii. oe. The Executive Committee, the Critical Care Committee, and the Credentials Committee had all recommended that Dr. Roe be appointed to the Courtesy Medical Staff with privileges in Emergency Medicine, Mr. Moore'moved that the Medical Staff Report be accepted and that Dr, Roe be appointed as requested; this motion was seconded and passed by voice vote. Administrator's Report: Buildin Im rovements--Mr. Watson ►reported that'it had been necessary to raplace oors to t e per the d a ng Room-Suite, at'.a cost of approximately $4,000.,He also " reported that another section of the roof had been re-surfaced at a cost of approximat y 4400. 'ie explained the need for both projects. E ui ent-plaMr.mWatson stateCthat he-wilfi be receiVing bids. to4purchase, the new.. C-~arm for the Operating Room, which had been approved-in the budget He added that ; 4 the Executive Committee of the Medical Staff had recommended that this equipment be J purchased during the first three months.of, the-fiscallyear beginning next month, 'Afte these bids have been reviewed by all parties concerned, a recommend sented to anon will be re the Board p } J! of Directors,, There was no further business, and the meeting was adjourned at 8:20 ~I p m . Mary Henderson Williams Secretary gnt E r ,t f # 4 : r,la lEd i i ' •r t IAs`srCl:eSCT3Gy 4nti..e., .aacfzrs•YtLU..awz~Prttrtsat.='aEntav',tar✓n`anur rstc-.rq ;'p lag i•e u ..,,r„°..ck...G.++:.,.,x...~ } tniikk.u nrtu, lCO Il~~rw kerlan, "nt'm{as ~.>axe.x..+-er „--~..-~.`M,'r!t--~S.,.A:•,'~ .k. ~e..Nd +..~~t? ~aA yi'cr+'.iV 'u+. hr.-.:... «oi:ar :wa l..,.MfG wi.,G,uk r. ~.°~''r'w~~. d.~..~ 17. ~~'k.• \~Ar~ld ,141ar iCfY 1991 ,1~.~, Cj) 1 ,0 DEMO CI~fY , ~cFICE MANA~Eks I, , nATr 9ra9/01 B 32: F L 0 W M E: M a R I A L H 0 9 p I T A i i 'r r I NAOf y CiIAR(TK C11ARCp•OFF LIST ACCOUNTS RECCIlIll ACCOU14T STATUS WORT P SE TEMBCR `,t0, 1961 -A IT AT NAp'K1, NT AMP "g 811-AN IND T T PAT. NO OVAIIANTOROAp01A1LTH~k,-NAM ONl; NUMBER R%C PAN I~TAflgq ~ATI MgD~QAI~ N 1N0 M_ ' NApUL'ENT CURRANT CIS 1 . ALLLEN L rUtS OECN1bN ,pqL ggN rL0U1S aq WIN[ ` Jul :t05 333Abt9 prpN Ctl11N~Y JAIL r 3 9% I8%Q 35 00 . p i. TX=' 74901 t n i iftJ l t1,ya T'' Denton County Jail. y AN0~0t30IJ 6000Hd1Aq F gL } MR80N 06.t1R0;A O !1%g %Bt 4011162066T 100.00 18.00 f0 Q 0 99 IN AU1. TX 7944W D303h 0 6l O nalance after Modlcalle and Medicald, 7) AN f1kANr 0 HO gp A 0t .127317 DEl MCR[pNT0CYbUN7Y Jr 9Gf~0~ •85.8'J NTEN r TX'- 094 V 1 f pp , ",Oanton Coul}ty of aARO a2yh ~AMi AOX 97ilSR r WILLIAM E Sg 'BOO, Ol 70.00 1 1' TX 76201 78; UEN $E Denton County Jail, "k102 2O M ON RON T MOWN OYRON 83 4Sp 0 Q4fi$.A CQ18$ 47, 00 10 NULL g 944 G 3 0 1, u 7b01 33 TX, a1q i 3 Y."' } I o", i' r ' E d` 0alanCO after Medicare and MedlCdld, 4 0A b~6 pa4 p N T9a14 SON 89 g 7ig4 gyi1l ` . fON cnWJTV j 77. 00 pp J+ DENT TX 7bxd1 79.00 rI Denton County Jall, 1 r ~Q~1NMR'; pATFIANIBAp t~`~~ppNtt C ggR NATHANIS J B3 9/ / t f7g1 32UbC7I A NTON CCU 0 JAIL 18 00 Q J1~ Yk" 76201 9 % )j, "d i, 00 Q ' }1 ~'1 f K t~I i' tt{{qq pp:{{1gg DOntOn 006 J411. tll, T 1002., 370NA 63t'NDCCUpISjYRJAIL NATHAN r L J O 9%!9761 „ 38.00 l CORN 1ui~tonTCOUntybJe011, l a0 Q `1 gg q4 11 rr st `':cRbclaxir oL12N , dR'pOH6'rf r'tlLS1J'.' 'r,`• q / )1/ 11 43476 ag M~LL St7 ta778p1 Y/A4/$i A i 0 iit 1r gLYO r r 31; i20 ! n + f K• . 76520 r . r , s is :I• I 51 ld0 ' p Denton County Jail, }s(, , k1 s f 0AV1 0At~,~ v ' Npp ppA~Y(C7 r DANNY A sj` I ff1~ t' 6Ott2Y Dhq? CJAry JAIL V 9/i7/~I ;Y~► O1' 46.25 0 T rv 1', 79 76201 I ' Denton County Jail, g 4. qbg r1~+1, p.1141~ N ,-7J196 7Y633 IIUpF 'f pHt:N i)LAVERNE4 6.2330 80 847. 40 C t s) fF d. Indigent care, 2 t~ Ii 047 AO i ~ L f t 1 ' •r~' r.' _~w__.._. _ _ rt. •!''1a. ~A.#1y....3.'.Y3..~«..'~....~~.._......~..i.r. ~.la } r , { x E r~. naw 1 DAl',fd 91t:Y 1) 1 tt;J1: h L 0 It E 11 d R I A L H d D N I Y A L IIAOt 2 Z rr ACCOUNTS RAGS VAKEE pACgCOUtN1ppT Ri-AWS WOMRgYp ' pp,1 I qq 1N h 01~tr'p UjjU, OIJAIIANru" AI)Uf!t~Y3S 21 5618 NUMUER 11%C UI~GHARVIT: AT MB IN8 N pADUUNT CUIl11HNT UAI ANQri Y ' LRWISVILLC TX 75067 9/21101 4 31 047. 4y pp~~77 pgN N pp~~ p aQ// ® EN AND 30~VFi4yRT T[dIN CQUNT~aNIL RftUHRT 04 146.$0 . I TX 76901 14966.88 Venturi County 511 ENfi Np 304g2J R7, DE•NYUN CdUNY~A~Dll. ROWT U3 1:900.00 549.00 45 D tai UE TAN I TX 74201 145:08 pppp gg pprN `'N NN Vontat County Jai I. 'IA :3019,41,T O Nf80 CDUNT~AJASL ROB4RT 69 v%U %9t. 900;00 ' 246.55 yq6 5 { f YX 76201 A x46: YSf Oenton County Jill. OAII~ION F ANCV L QAMI1tlN , JAMHO A 97 O/ 7/g 900.00 306,00 102 27Y573 flflY 1 ODX ld 9 2439 0 8/ 7/9~ %gG.pp PRIt;Cd TX 7 0 4 8/ 0/ellll 506. 00 I i Y, qq yy ~~yy pp N111-Vurton cgri`trerIa. gg i y 449 34-37b7•D l 10000 27. 50 160 71.. 758, 1{ OIItOURT 93997 NO JELL AV, APT 1L0~FITXY 71i~ptBZOgSR Ol, % 1 IN 2 G ALE,i ~}A CL 9alanco after' Ilevdlcore and Medicaid, g p tt prNT :01 85.00 900 OOt 0RlM1dN CIYY r 0q N/U%~( I II Oonton County Jail. ppNN ppNN pp HH II11 n g 3 g 5 a ' 1 ORBU7N R3d433E [01GNTON CQUNTYAJAIL I WTXME AN 90 ; 800'00 ` 105. 25 t05: ?S , 1 I I; }{J I nnutJII ~p ►►~~pp .ttNN 6ant4p County Jail, 33 i l } HAIbN 9ti313O DtiN1~ON00ELL~N143 ,',LI1X1~6 47061 af3 1847,30 f1 I IfE ppAV ANDY pp g p5JynN COI1NY~n~nt care. 83 900t00, 65, 45 bb 44 I ' k 11 301 3x1942BUTONMCilIN1JdY YX 7626t 9 69:4 i Donton Couilty Jail. Milt l..: JJ1„ Hx'~INO BR 66 4LH8 T CQNN7QI110 JAIL' 0 03 : , g00?pl 290.75 pqp I ' j la 8ENY8b TX 7620 1. 1290: ~S Donton'-rounty Jail. 1, t t i' aF t I ' 1 li i DATE 9/29/£11 Or 42; R 1. O f1 M C~ 01 O R 1 A L }J g g p C T A L NAOR 0 Y pqr ACCQU14TO RGCUIVA.M.E ACCOUNT &TATVO RUpORT gqBpFIYIJANO~p pp s p (qn 101 ptp iq INpJREGf PAAll T. t,9 ` oUARANTOROAU R6n80`0AAM6 NUMIIgR F: RYu~iAROg oA hI DJCA{A a VNNI]TA Ap M IN$ N PATTY Tl p1LLSA' It! f+Y p LAf L~ 1101•F RD JAM 11! Fn DU C !!''1 1I pplii ONGI.LpY l P t Ce76O32 D~ Mi(~NCARIip 1104 N E g pN O3100,00 *54,3V 6 4 yy qq 1 r TX 7 MWAANp OgHel, gffaa DuRtOlt County doll; N2RWAARNAgg RVI.TH VICK! 0~ dU~ s 9994 y° tl%0%rdj , 900.00 R43,73 r% 76 a43.79 pp II!I1-Rurt0il cpit0>la, 24 . 7S `'.i' - ! Jgl207ON 1500b0CU8 M DCNTfJk COUNT, O DENTON UeiltOri COUnt7y~A~i; 3iT.00 0 Hg J 00 8$ 9 JUTtO@' 367A9' 9a~9 DUNCAN?NEU A1108 g 0 {66 pg..r6•,g: 1 70,00 p4rNTOH TX 7G2dL19661364 10%8%p0 {17~02~41A 18 8:88 O9 p y~ pp fla~gnce aftop Nodtcold,; l1YOR 050~1AM J !''k 6~A~fGL ,WIi 17 LL fAM 03 Y/ / I , ..I pp77ggWW ttTT 9t]UTf{I.AlSE TX 999`19 7 /~~/13gg~ 90Q.0{' 6R. 90 qyDehton 6d ty JalI, KND326 OI e MCK11NNgY 04 p 2 gg 5 >~l.r aa g 1J CQUN7 B%@~%6~ 40Q 01. 89, 90 dpo',1 ` f c ONraN TX 74a61 eq: 60' i KUDQAT 14H70 Wnton tounty,Jail, I r., a4 0 tlgNTON COUNT" o g 03 8/10/Q1 496-06-7009 A ! OUNTON r? TX 76214 4 / 0/f~1 1400 41 40.78 } s p HH ~yYpk NN gg CggKK oent~f~~f9~,f~tov Jatl, V1141 KUSI~ICCEK 33~~JCiO^RD~NTUN` CITYTJ~II. 8~ 'r s R 6 t 900.00 69.00 e LUOTNR I 401.. W 9DA' LU0B NANdA 0149 a q J' 11 TAIfO tqq 97 L 26Yt466 vt1 r,;S-YX'; , 7 0670484 p g :r;'' % E%1 9b0, 00 P92.40 C i l M r R111-liurG~n 2gQ ~8 ' y p~M~~ CCgqtltl qqyy J L ~)rtl~pLO 24~Q40a Itltl OVICKTTIgLtl , JAM > qq(b~ gggg Law LL Tk 7Jpdo71161 6 % %90 4~r 0► 494, 99 171 M6 1M11Yr} ML61t Illl)-IiUI'tOn crltarJa, 44~.8~~ !1 11 mid JIMMY. + t 6 li J 2f?a r^~>'J450O " ;?I;!? CA0t1p. TZ9uaA6' 2l4 436 7829 9 4jZ j t 00 ~ , Ocnton Countjail. o': I li x; I t1 iFi v, 29/Rl 0: 46: F L O W M 9 M 0 fl 1 A L II 0 8 P 1 T A L F AOR 4; AC60VNTS RRCkIVABL£ ACCOUNT OTATU8 RVOT PA II~.NT 0103. 1U1 ppy~ 4A -ADMIT OA p'gplp N T 9~IL.ANCE iNtF~IFWx'T PAT. 14 al, OVARANTOROhODflLHOR•^NI'fIfn NUM6GR It/0a CIIIAryO) DAT h1£D1CAID N INB M pADUHNT CUHR4N gg FLOWER HOUND T> 750RO 3 08.00 1faOlC}IAVAOl2WeC2NI I1pORCRIPTUIlAOFIAVptl1,C~XRSV7~NNy0WN q0 0~30%9~ 1.500.00 0F3.00 gg pp 0Q T Fi E 08 08 't Denton County Bail., tltl'g 900.01 40.75 q MCYERS .2 ISURLI-C L MGYCRI3 CNARLH34~Z Ci7%4 114 Noll 01 b U 554 4tl ~0 KN 14 • TX . %649 } Uont.on County Child Wall rare. P1 A MAMI~OTk HgC OCNTON COUNT, 93 900.01 0e4.74 { qp f S01 ROU4~ [ILMTKINNEY q 7/ 4 76 TX 76401 MM Denton County Jail. ~t 0p } { } I7 7 AOE14ifOTHf M IIiNNfiYENTON CgUNTr 11 103,00 10~, $°0 DF.'NTON TX 76001 g nenlon county dai1. p p 11II~aC ~IOp4.M2gTliYRNTON CgUNTr 83 8%0%Q~ 1. 99 50 99 g ; r 0£M K0INNE Dentol~oeny~J°a 11. g9. q 7 °1 p47 g7 99.50 N 9t ~1% 7'%~t' 0024 Iq A 190.00 76.70 4 gyp 1 NC141 `41g4tlRa0ART R gqX tt2stf THEnt) an9 O AUSREY pg' 4Y~ 7O 1r 0alonce attar Fledicare and Medicaid, +t kwtICRRY AL IN L NCIdefr9nY ALVIN L 97 3/ / 990.00 204.00 99 i01 x766 7' q L 9094 8. 011 i N V~LL n 7% 7 11111•Durton criteria. g `q g Al, . tlp07 NEWMAN i RtJTII ~60, 00 b9. Otl ' IOC 01 (2!430k6.; HNTt~N9B1 6 . T% 74201 6 09 ' - n + r p ~ ppgg gg. !0 NNRR~:, l7(p1AN01O M~F~ ggno gSSet9.,, 8 ~t (6,/~p~pyyb/g8g8 109. 0 p . qgj 0Dr ~101NHIt 3004 g3ft: UANOHRPAR~ C T% 7Gft63047 A%1~%B 1 59.0 Dalaoce aften,MIIMR. i PAp S R FIBN A p OTEPHLEN B 7131111 0.00 134.00 pp N: 3 4 4749 OR , 7//t' ~04 881 J 1 AVE E' Man 8 D titOb DEN7gN I T% 7640} yp n 1 J EXpirod) loft no assets, Itp~ 7 a _ a..' fr', 1 DATE 9!29/81 8:48: FLOW ME MDR I AL HARP I T A L PAOE 9 I1f aa p NP gq 11jj n(RAgpCCggOUNT$ RECE1VADLE CCACCOUNT STATVq REPORT N cc y ( PN ~~ECTTP MU ~ OUARANTDRGAARA1NBS-_NIMg,,E NUMOER I%C 019 HAROE AT 01S[CA1p p INS Y PATIENT TDTA BILLED DUE CURRIE T BALANCE PA2l1RR 2156 bfIEN`Hb71AVVE a W12 S7%f'IIGNgg712740 SO 9501%81 90O. D0 40.75 40, 7 1 UD NN 0111 edl left no assets. : p g gg E `o g q p PA?l7~ 210A20IENDENAOANE 9 PARK5 S TX 12743 88 9583% 1 900.00 104.29 0 18119 Expired; loft no assets, 1211 181 90D, 00 114, 00 `y p ,l PA2lap 21 g6 gNEN``oo~~AgqVE EpRR2 q STVI'IIEN I 2743 DO W7 ON TX 7E 2D1 Y 88 AIR' p Expired; left no as,vts. l PAR1(l q G U yyffRB AP 7µ0 . '81 t:VE p 150100 1746 b0 6 1 D NON TX 78408%%e~ 176,60 t BrCy RR qq Expiredl loft no assets, gg11 7XVE 7N6201 ONE 02 6%01581 ~iltl0.00 68 30 69 90 PA209R 2106838 O~N~~VS AP7Kf013 0 l Expiredl loft no assets, PATTrr R$pN ggffflCY yyponnPER SHARON 03 623181 400.00 132.25 yy o iI / Q0 il7~713 l 1 MGCORMIC NONE 9 6 1 , 2tl DEN ON indigent ca76101 PR1~~ 100iVADA BDJUSTIN3 PAM b D 643 6 ~'8T% 76016 47 B/ > /91 172:.0 21199 0'J it2 8, 36 t g pu NI11•Durton rritoria, g QV Vpri 524b16O j hgONCAIRV,%jDN JTXEB 7GNi'OfOUN p8 8i OM 40D, 00 102, 00 102 OS f t pp g p Indigent transient. g 7 qo p~ • Rk~NQ1.6 2Q47~6 *R~?RN, TC OUNi'Y JAIL , , TX 76201 89. S/IVI1 70.00 ;8, 88 g pgrp p p Denton County Jail, q gp I 6 RIM 199V01CHR6NjONOX 21"' PTXRJC7g9815231S 900 OD 214!!.80 2 42 00 D hill-Dorton criteria',' I [ g g g , 7 RD S¢L6p 14411?' UNAaWN ROE811LOR VU0EN9 NONE 80 S%S9%8~ 60140032:1 900,00 38.00 38.00 Oa Denton County Jail'. t I R Y 11 1 1 t I DATE 9/24/01 0:90: f L 0 W M E M O R I A L H 0 13 P'1 T A L PAGE 6 ACCOVNI'0 RECGIVAOLfC ACCOUIJT STATUS REPORT ' PR FIXCNT 14 0uA0A 77OR NAME pp/cc ppP(tM•1•,DN1T AA ggE yl.~r~ p1CApo 0 'INS M PA1$NT TtlFi TT BtLLHO IIJ IRLCT PA N GUARANTOR ADItC$a PIJOIJLr NUMDER R/C DlOCIIAROp ATN rCOJ~htD M 0VE CVR J7 BALANCE LANEpNDALLApOy TX 750&5 p ` r Q; 38.00 RO I 202 310293Y B~N70~i COUNTY. JAIL JHRkV 7% 76201 114 06.00 1 HN 10 00; 00 jr ga q p r}~ Denton County Jail, gg S 1rQ44~ l1EN ONhPNICI~RN M33 I/MTXV176201^9074 00 qj 900,00 066,Q0 b6 00 Medically 111ditrnt, pp J OM102 224490 ~ NQTgNAPRICUAN 033 MARV1762p1'r1074 Op /06j 900,00 18890,32 ( LL g Mad lcallyy Indigent, 10 7 gg%gg %Bl ggss NOR3Q T1{OfY 022910 /yR 0gNRA§ DE111b2RY ROC L A RQ DALLAS ER ONE 97 81 9 900.00 38, 00 g Nell-UUrten~{lcria, B 08.00 LL; . {T1L LEY 344063p OENERgLLFkV FRV R00F.R NONE 977 6%1b/BS ; 900.00 63.79 1 2 LAKE A A0 r T% 79065 113. 5 hill-Burton Crilorla,; f,l.ggY NN 9A pp LL gyy A RA FI70It' 00 062p LGEd LL B~ ERY r 1 RO%ER 7li0bb 9Z 900, 00 7 Mill pp { Rj rBCH 69. 90 ``yy; OQ `g ~ p hill-Bu 89 rton crllerla, g pp ~ yO 3201G1N B O& CCU JAIL r rATXEN 76201 8? 966.01 38.00 B pp ~ _ N i1 :08; 00 I ng 7 Denton County Jail, gg 22q{ gg 7V01R R9ti737pNO6TAN011L/NUNpR 0714 2906 00 ,100,10 18.00 AO: t 1 00 pp~p Dal once after Modicald, oo I 1NIpR~t100D- 2$4337THY$iNRliRtlX 6B32RWOOD WILL1hH X.: 9~ yb%g~j 400r01 2236,60 TX' 7bD66 6/19l 11 JaJ7.y i IS 1 JAlD4RORIPF 304~b DHIJTONRUDD~LENI6IF~111~Nton IJONE ria, 8 / yq! A6 P , 1t4A ~lpp ~p p C i .TX . 76801 I 1/ 71 29. 60 11~04~60i ,300.00 49ii6; 68 Balance aftm• Medicaid,'`" F.: r 1 DAI'R 9/39/01 0:54: P L O W M E M 0 R ,1 A L 11 0 0 P I T A L PAGE 7 pp pp ACCOUNI'0 RGCEIVAIRAZ ACCOggUN~T 01ATUG 11101ORRT lARI CTTPA7- NO. OUARANrOROADDRVU$tl--NPhONe NUMBER , ~t% U1Dt1HAROR AT MROICAlt M INB N PAiUE"T CUTOTL PRENT D LANCE U UAiO R• 33MOA ILVN Sp HAPLUALNER :MARILVN OC ~~¢(~p! 900.01 11.90 l 733 <~ENiON R T% 76'401 1t: €1~ 8 f ggnnyy;'l ccpp Ooimlco after 0IIRI;t. 1' W1101 t' 318719L I 0 AV6 EpANAAA ~ JOBU1311 gg pp 73dJ 0 % %S 900.01 123. 86 7 p UN0ON t T% 76E01 A 33 . 6 pp UU D418neo after H)(11R. : 2UI811 30S1g0A ` 1M BCRIVTUfCL11 DONNA 0C 900,00 17.7. 60 pp !)ONION 1'% 76401 4/ 7/ 7777:60 177 Order' of protective Custody. TOTAL 6 3],035.20 , r i j I V ~ 66MATIE4 i 76.76 U; INPAYIENT34,61C70 D$OGENCY 3 245.80 rifW, 7" S I 1 1I . , 1 t. I DATE 10/02/01 7: 04: F L O W M E M 0 R I A L H 0 8 P I T A L PAGE I BAD DEBT TRANSFER SPORT FOR PERIOD 9/01/81 THRU 9/30/61 ppYTENT NUMBER xYiMxNMxx PATIEN~1T NAME NNriYYxYi YxrNNxrx OUARANTOA NAK Nxrrrrr» DATE pDATT Rgg DA7V OF BALANCE PP'X NUMUER NA14E, ADDR, CITY 8Y, ZIP NAME. ADDR, CITY, ST, ZIP ADMIY KD D7$CNAQBD WR1 EOFP OF ACCOUNT 201 31730l~OSTEI.LA APT lyOMOlIrxMAD76201 n 7Nj pNTELLA APT 150 MgIIAMMAD 7/26/81 9/1!9/81 38,00 f If Y% 76201 Unable to locate, 103 14993 At)pY >14X 7137 DELORE8 AD,4Y CALVIN 1/16/61 1/20/61 9/29/81 74.00 P. I1. yy 1 DEN70N TX 76201 061'1- 11 2137 TX 76201 No ruspqnse to Collection efforts. 1 201 30066 4 111 !✓aL1L1BRLE8 . AT W"" 73067 t ISHCB qpg EL11gRLEB 50 8T7%EN 75067 Unable to6locflt0, 9/29/81 38.00 YI.~ 1Qf 10961 NWA UTH POND ELLEN A6 i NN~AYYUTII POND RODKAT 0/02/8D 0/05/00 9/29/61 218, 18 99 &N11T11 N TX 76201 22DNTOW 11p TX '16201 Arranioments not kopt, '4 201 17542 R AE OD4ONBOX 413' `.JOSE. ~ppRTNE40kB11X 413 r JOSH 9/29/81 35.50 } D NTIM NE X 76741 MON TX 76201 WVed; left no address, F 203 24402 pApppT~11499NDAVIDBON PERRY tAA4INUONDAVID£1ON PERRY 12/15/00 9/29/81 22.00 I AEIJTpN TX 76201 DENAN TX 76201 Unable to locate, 205 2974 SB1IA1pOEECpRo PAULA ~A 01 OK Y% PAULA } U8N7pNOK 76201 NT 1/24/61 9/29/81 40,50 µ TX, 76201 No response to Collection efforts I $ ; A Ali 201 27690 INIR 101? WOOD RYAN AKER 1002 WdgO DIANNA 3/21/61 9/29/61 127.00 } AN0 T% 76766 AND R g TX 76266 No response to collection offorts, E 201 30020 Igo KLVIN ~ ESTATES, LAOS t;ABi A 8 pE KEVIN 6107/61 9/99/61 130, 00 i t ) LI V~{, TX 70067 I. jI W1,V~~~Q TX 70067 Patient refusal to pay, I 10$ '23557 JAR C DEBBY ARrER DRNN16 4123/tit 4/28/61 9/29/81 1398.90 J BOX 4Y i ) KINTO p% 47 T% 76201 UN ON YX 76201 No response t0 collection efforts, 201 20747 B R A RICHARD RR pd% no A RICHARD 4/74/81 BOX 8B 9/79/81 64100 O NTpfl TX 76201 DIIN ON YX 76201 No response to Collection offorts. 702 8008 `B`aAONEHI L D6 , PAUL R jiLLff OE 0t JERRY 4/20/61 9/29/01 30. Do I t2g1Nit V~Lgg L TX 76240 ?N69 . 9V LL 4 TX 76240 NO response to cOlfeCtion efforts, 201 28299 BBpA`~N7ETTIT B ACRhKK Ap~0M06 ~tADJEffrelnCREf 1 K A~T~AMIB 4/10/64 yI1M/81 60,25 LHN+6V! 1. TX 70067 LKW 6V 146 TX 70067 Np respom a to collection efforts, I 1 w r UAiE 10/02/01 7:06: FL01! HLHOR IAL HOOP 1 TAL f PAQfi $ I RAD 090T TRANSFER REPORT FOR PERIOD 9/01/81 THRU 9/30/81 t~! PA IiN7 U11DER YYYyYYYyM PAD W VIE **#**YYYy YYYYYYyu O ARANTOR NAME YYYYYYa* p P X t!!/MIISR NAH9t ADDR, CITY, 87i ZIP NAME, At CITY, 8T, TIP - ADMITTED DCBC}fARGED DJEEOFF OFB LAN8UNT 1 -----_-----WA T ACC 201 20340 1' CARIE p pT+y g CC , 1 L~L~ EELH BT. AD~AE Bd 6px~lNa 8T ADDREQd)ARI& 4/17/01 Y 4/29/81. 108.33 ++f TX 73068 LITTLE BlM TN. 730¢0 No response to coll@ction efforts, ;ZOI 30007 RA 05Y CHERYL DR. CEREL[A 0115&Y CHERYL DR ' QADRIEt 6/07/81 9/29/81. 1.8.00 1 8A! ~AANTONIO TX 70220 dqN AIlT4lJltl 101 19246 DH`AqRD CHADWICH TX 702RO NO respon$@ to C011e0t1on efforts. I ~RUME HUjrFMAN ~jBAIIU RANDAI.L 2/17181 3/03/01. 9/29/dt 229.78 TX 7b24q I/HUME IiUFFHAN p 1, 201 26207 D!~j RqE I7 N g TX 76249 BAIARCe After lnsuraoCel no response, ' Og fO~ENLEE DR , T1M4TIIEA IO JOGREhNLEE DR ' TIMOTIIEA 1/31/01 4 { 1 TX 76101 O YON 9/09/81 44.70 TX 76901 NO r@$pOn$@ 205 77903 to C0110C1.101 efforts. AJgH EBS/113 BIRCH11AR1ON I L BlRCII , MARION 3/79/81• , 9/99/41 13.10 11 6~~ a3/sl3 L#~ r } TX 76942 ROANOKE TX 76262 Balance After Medicare, 101 23666 aj~pp YN HOLLY p NTaN ELM gpOo9tx .l2Fl DARRELL 1/1.4/81 2/12/01 9/19/01. 792.43 AE y ) , TX 76201 nUNTUM TX 71,201 1 201 27003 pBp YUS J1MNY r patient refused to pay, g ? & OY TX 73479 JAtvsv3 JIhfNY $/01/81 . 9/29/81 ?2.00 202 17172 e after Medicare, 4Y RICKY 7y479 Balanc uu , NO RICKY R , RICKY 4/14/81 N ON~ HICKORY 811 TX 76201 Sa' N 0~'HICKORY N1 l 9/29/01 30.75 C lot 21397 DEN A K VAI.L6Y VIEW CANDICE 8TX ,76201 no po$pon$e to Collection efforts. j~jp3 K PAMELA 594. f0 TON $2Lp ~ VALLgY VIEW 8/2b/HO 1/04/00 9/29/81 TX 76201 DENTON slot 29594 JACKR 2 AENt?g pp TK 76201 NO rOSpOns@ to CO1)eCtion efforts. ) IUM "a 62AM Tx 741.41 N, IKBOX 62AM TOMMY '5/21/81 I UM 4/!1.q/B1. 53.90 tot 26269 L~~KppEY pp p & TX 76249 No response to Co114ctlOn efforts, AI.LABDALLAS NARKGAYAM 66 d3RyDALLAS PKWY 4180 to 2/02/81 2/04/81 9/29/91 233.45 . 74240 ALLAAB X 73240 204 12434 Np TIIOMAB Balance after lnsurancel no response, T{f A t NWR I4H T C}1ApLEryE 1 TX 761201 nfITQ1ITNNRI4lIT 4/22/81 9/99/81 78.75 pg TX 76201 No rospon$e to Coltedt16e,effort4, ' 26t 27003 p rjT XTCfACL9 1111"T q4 IHSLLa% CIRCLE , REBECCA 3/24/01 9/29/01 39.03 TX 76201 Dl41'OI~1 TX 761101 No response to collection offer b . I ,y i DATE 10/02/01 7:06: FLtlW MEM0A 1 AL IIOSP I T AL PAGE 3 71 DAD DEBT TRANSFER REPORT FOR PERIOD 9/01/01 TIIRU 9/38g0/01 pp PATIENT NUMBER **r**w*r* PATIENT NAME ****r**** *~*r**r* OUARANTOR NAME *N*A**** ADhDf[Tflo DI9CFA OED 4DAYOKOFF dFBAACNgUNT _F 7 PFX NUMBER NANd, AD_UR, C_17V, qT, 2IP NAFIU, AUuRr CITY, 8T, 21P I pL tlN i lOS y27934 R701I1gTOX 440 ____;rEARL Pf10ti1t1X blf ' EARL 3l30/9t 4/02/01 9/2/81 1070.55 E PONCE TX 76259 DBN ON TX 76201 Arrangements riot kept. + f 1 ~j 73967 hrra9/29/8 ngements not kept ~0 4!24101 199.05 I 101 22437 g f~EO 8T JCOTXE 75067 , tS:1 11C.SQOT ALFRED LLWI ILL!` 101 14133 DRB JUFFREY WILLIAH l/02/01 1/07/91 9!29/01 27,74 O N O OCKWOOD j092 yOCKWOOD TX 76201 DBTX 76207 No response to col4ectlon efforts, 1 103 6673 ROKg.pp , ONELIA ~R` KIQ11Aq N20 ' PIIILLIP 1/21/91 1/27/01 9/29/01 304,00 11 ~{ENTT1Ig17AD 020 T% 76201 DN T% 76201 Balance after Medicare, no response, ONN 104 6673 BRONT~ 01tLTxA 76201 HAD 020 PIITXL176201 Ralance after Insu ancei no response' 203 60 313 OMAO 020 •6 , - OliNTO 103 12359 IHNgONMIIERST LI140% 76:107 IffiKSMItERST RICKEY 76~01 No /13/9o to c4/16/ 1 affil/29/Of 492.90 0 1 201 26200 g ON 737 NT9U TX ~VA4AR6E7bSt03 )A ? 2OM VAl-ARf?l: 2/07/01 9/24/01 10.00 4 741 ORLAND N[ENCUVE DR TY 7040 NO response to collgction efforts, II ~ D +T , I~ 1 ANTHONY ANTHONY 5/20/41, 9/29/01 77.60 , 202 0746 OlJ~jCARDNALK 214114 9OAROWALK NTtlN TX: 76201 T% 76201 Ito response to collection efforts. I p I ~ 9 101 20604 gRpWN ELLA W EVELYN 4/20/01 4/24/91 9/24/01 1265,50 VINE AQW VINE 31Y ' 709' Tx 76320 AhH ON T% 7620 Arrangements not kept, CAME Q J 102 2A086 gpOWN O AN RICHARD 3/10/01 3/14101 9/29/01 393 17 k i 7 ~ NLOCUOT T% 76201 ONLOCUBT T% 76201 Balance after insurance; no response, 1 r[t M JERAY 6/al/91 9/29/01 39.00 ` 203 21135 NN MICNAEI D~~1JN RUODLE 8T RUDDLE ST 1 N T% ry6a0f LNTgN T% 76201 No response to Collection efforts, c 0 NTON f 21027 AA MICHAEL 66D06DNU OTEMMONS DANNY 3/30/01 4/29/01 335.00 r 9 OTGMMONB TX 76201 bENTON T% 76201 Arrangnoent4 not kept, f i 1 47015, Pi]fi11N 5t RHONDA pONq $1 OLENN 2/27/01 4/29/01 85.40 AUPAR Tx 76227 2 0 TX 76227 Ralance after Insurancel no rospenso, 1 I 1 i I r, ~L s~ s>~ DATC 10/02/UI 7;06; F L O W ~ I 'l E M f l It S A L It p B P 1 T A{- ' A O E 4 DAD DEOT TRANUFCA REPORT rOR PERIOD 9/ot/01 THRU 9/30/91 Y pAiIENT NUU0511 YiIYYNNpNY PATIE7T UTAME ttyYNN*Ntlr YYYNrYNY OU~JARAN7OR NAME YYMNYYYY p NUS E NA146i AOOR, CIY , Ti 2IP NAME, AUDR, CITY, 8T, ZIP ppr g l1Cl AM DATE nnF ADMI T T ED DAI.ANC DI I OED LY WR17li0 F R OF ACCOUNT ld3 13231 D1 N Wf1 SON ppp 0nQILLPONO 1704NppILLPOND WILDON 9/19/51 2/26/01 9/29/81 1 YX 76201 IJ[NTDN 949.94 1 201 4103 Y N TX 76201 Arrange4nants not kept. BOX 1146 + CAROLS N UNY.OtNOUX 1146 RICKY 4/19/8i 9/29/01 TX 7620:+ NTON TX 76209 No rosponse to collection efforts. 193. 04 201 x9039 JS LOQAK a CALI tE y C . IF 5/04/81 ppARK N10 zUI. ( 1 LEI`tSUAKLE TX 71106% L~iJ QUK &K LEARK 3104 CAI.I 9/29/81 79.00 ZQ~ 29170 BURCH TX 75067 No response to collection offorts, DONNA 0q BDMINOLE U lRC ]t p t~l NfON TX, 76201 SN~IgQEMINDLE S/OB/Bt 9/29101 80. 50 Loa 224p6 R 0 Tx 76201 HO response to CO11QCti0n efforts. 0g NNA UGLI. it Dug U 011116 NYA I ANNA 1/12/81 l/20/81 9/29/81 222.22 } 2d3 11266 U ttUTg MUI.DpHRY TX 76201 D NUN TX 76201, Dalanes after Insurancel no response, 4 ~ , Dabalii I !lU DEBDtI 3/00/81 1 U~IdN TX 76201 HI 7~IlMULBCRRV 9/29/81 O1. JO 207 9126 1•I F TX 76201 NO response to collection efforts, OEDORAH IiAPF' N r i 274 932 Bb ILM g MICHAEL H T 1 TX 76QOI ~gMTQI~ ELM PO BOX ~74 7/14/81 9/29/01 38,70 i' 101 29%77 1~IiIAV t1~DIBRE TX 76201 Unable to locate, 66 ANTNOPW ((~0 jJIbb ~~jj Mp ANTI{ONY 3/ft7/t~{ 6/1Q/91 9/29/8J 110 'J6 t LiPM ILL TX 79067 L,INIOAV V~~~EENB TX 73067 Dalauce after lnsurancel unable to locat 20"2 20974 R 0gT wILL TX IA" e' 76267 C99%, + I gA OIS 00 pDCOFiAN~AB A100 POCOHANTAB WILLIAM 76262 Ito MIR& to collection effOVV/St 1345.05 ANOIt VV uU nn gg 101 24277U TX O~KNAVAJq JOHN NN C11~1 Kp11% JOHN 4/07/81 6/09/01 9/29/81 I INTO TX 76201 06, N O A AJO 999. Z2 f 1 31760LEHgNT Tx 76201 Patient, refused to pay, T ~I LYNDt.E LMDNT LYNDLa l UE BTR'R YX 76232 UENOTGR 7127/81 9/29/01 08.00 l 102 6536 NTI1 , gONALD ~ YX 76232 Unable to locate. 1NgItORFB RD TX 76201 PliN7ONxB326 DONALD 4/27/01 6/00/81 9/24/01 10481,00 203, 220'12 B TX 7620t 110 response to collection efforts, 1 ) N O AYT[MDRE "ARIA TX 76201 118&ATTIMt1R6 Lurk 76201 NO rosponsei t0 collection effo~ris99/BJ 429, d0 p DATE 10/02/81 7:06, FLOW HEfM0A I AL H08P I T A L PAOE 0 } BAD DCDT TRANOFBR 11GP0117 FOR PCRIDD q/01/Dl Tmu 9/30/81 PATIBNT'FjU110MR +~wNwwwuNwPATTttENNTNNAHt NwwppwNwN wwwpwNNN 0~fqRANN7~•OR NAM>:pyNNNppN y1DAT~{ rDAq nnA7E< pF DA AN8UGGg I PFX NU1104 NANEr AOURr CITYr 9Tr T1P NAMR, AUURr CITYr UTr X1P ADMITTED 016CH~ OBD NRITBDpF pF ACCNT ' _ 202 13579 fICHl~il~ FLOYD C QIIR11~ FLOYD 3/06/81 9/29/81 34.00 ARUM T% I6247 fKl JJUf(H TX 76249 Belem after idsurancal no response, I lot 6680 Aap l NOLeN CC it. N aW r 11L11 7/07/79 6/03/79 9/129/01 0700,00 + L4 t VlI I B~D MANU Tx 73047 , H5 j0j1#tlOD NANOR YK 70067 Arrangements not kept, l 1 29491 CP/I~tlYD LAURA 101 ;Id1 YD J00 5/18/81 9/79/81 4553. 10 1 EN To TX 74201 p WO YX 7620, No response t0 collection efforts. lot 27210 OT AOURN RICHARD ~ lJ~1T8U 8fERN IIOIIARD 3/03/61 0111181 9/29/01 2391.30 j DA LA~ TX 703709 11 4LA TX 73209 Ho response to collection efforts. 1 25719 Co$l L N 84WARq. I NN1. N HUWARO 2/16/81 9/29/81 298. SO s ft q01 KfLKRNNY CT KILKENNY CT N7 II 7X 76201 CtBNTGGGNpp YX 74701 No response to'co11a0tion efforts let 30428 EN p t ~pUtd6 LARTX 761201 ~iWONgUIDC LATXV 7620t No r6/17~81 6/17/01 esponse to Collection efforts. 424.00 202 22070 487fApp$g.. BRNIN ~tR1AA~j liE 808 VRIIIN F 2/11/61 9/29/6t 331.70 r , 104 28091 rllA VILL6 MAR TY NP, X ' 70067 V 1140 Yk2: TRTV - 7bl i6 No 1 response to collection . efforts, 9/29/6f 456, 33 f 3 tR W~B~ILL68 YK 73067 LEW V1LLLfI TA 76667 No response to collection efforts. tot 5654 OCK'rY BOBBY C tl~~Kg T BOBBY 3/22/81 3/23/81 9/29/81 308.01 r N~OyOX 1061 TX 76201 a N12'UN~% 1061 TX 76701 } balance after Ulsurancel no response, 101 2762210 R4 , 39TATXy 76026 UR10PfSRT4. PLT%D 74604 he 3/29/01 C0116Ct160n Bffo~ts9/61 624.95 101 15020 6 c Y. it1 E TINT 76234 Dg%8Rx 635 r O9t1TXI R0II r6234 11/12180 t1/17/80 9/29/81 3229.10 a I~1~ } Arrangements not kept, a 9/99/01 38,50 401 20197 ~ O~E MICK LLPp%DUtl76201 ~ OjA~2: tflCK ARYXRO 72201 U114410 4/06/91 d} #ocate, 199 60203 , DLJAM NADRIN MOWN AYINNFAR I r Ii8MA51L 2/06/78 ^2/08/78 9/29/01 449.00 ~ 761101 6 TBV TX 76261 3 ~ Al,nangements not kept. k t F. t. r~ 0AI'E 10/02/U1 7:07: FLON M E M 0 R I A1. H 0 8 P I T A L PAOE b DAD MY TRANSFaR REPORT FOR PERIOD 9/01/Al TIIRU 9/30/81 PA tVNT ~UMpgA Myppyyppy PArrIE1~T NppMk Mpyilyypyy ypYNMypy tlVARANTOR MAME yrrpppyp AD M &OED pr n OF CCOU 9 14 - --A-M--,--IT CY,-UT,->tP NAME, AbOR, CITY, 9T1 11P pITT gED D18CFIARpp,{{rr ARIETOOK~ DALAANCgNT I - - ------ME, W 163 9099 d ANWOOD AAOERT fr104 ppAHIIUOD ROBERT 12/08/80 t2/l0/80 9/29/91 317.48, u Yx 101 28695 76201 AIM N4 TX 76201 BalanCe after insurancel no response, pA1 Ay78 " r ANNA 11 A JUAN JO 4/22/91 4ISIS/8l 9/24/81 8'54. 40 1 1 7X 75034 r F~III0'19. TX 70034 NO 1e9 1 233 4566 gIONBAR CAROL Ponse to cOllection efforts. 4l N fdt rrggd CAROL t/19/21 9/29/91 177 P!?AH 185.09 TX 76201 ue'++~aTON TX 76201 Nance after Nedicarel no response, I 101 27914 t jVT~JW ANFOItd HICFIUL t, V 0 F~qfAyp1{{{~N MICHEL 3/79/81 4/04/81 9/29/81 1663.9-3 A 01 f N TX 76012 ARLtNOI ~NFgAD YX 760111 8 102 21414 , `F` I 1 N fltiPgRO I11CNttl, fFf~JAVtolla No response tq collection efforts, L II T A gry Tff 76012 A L NO1SONFOND NITXEL75012 4/14/81 4/10/81 9/29/91 739.45 161 29164 E7X MA LVNN7 p t1TN LAitFB No response to COllectlon efforts. 1950N 7411N LAHpB HI 'JP 0Sq6 q8p RANpB Rtlyy HU06NF 3/13/81 !1/Idltll 9/t7q/81 91t.15 6201 b WON MHI' 02f ' 76201 No response to collection efforts, 101 27924. F qIqT 8 JUANITA V Y 8 Jag 3/30/Si 3/3l/Qt 9/49/81 321.35 1 UNTO 9LN TX 76201 IQN ELN Tx 7,6201 No res o 20t 27926 AARC A ALFA 1;00 ARC JA P nse to collection efforts, jt;NT +r SYCAMORE ' Qy1,lb SYCAMORE ALFR7~pq 3/110/Bl' 9/4q/9l 48,'00 rX 76201 UQNT N TX 76201 No response to collection efforts, ]IERRA I Lot 29656 ] ART , LOU UPON i Y ALLEN 5/24/01 0/28/81 9/29/81 1232.00 1 ) p11' Tk., 76221 lEftRA o N p tl AN TX 76201 No response to collection efforts, f 201 29121 DARBARA 1 I O Hf1AT1{ER LN r' 'J O+MlIL+ATlIER LN CHARLES 0/06/81- D N ON TX 76201 0 N Q 9/49/8! 38.00 101 461339 #1MEy ~ CODY TX 74201• unable to locate. i gpxx bl0 f1+k&DAt1x i ROIROT A 2/I1/84 1t/14/81 9179/91 8b, as 26( 3037 LOT 6!N T762SS pTAT pA16 C N~ TX '.76400 Movedj loft no addpess, S NAJ telly! , AROQ9IRE li JIZAMN1 AAD98IRK 6/15/81 y I ~OQVVENUE A APT 20 YX 76201 LdVLrNUE A APT 20 14 9/29/91 43.50 207 17344 ~yI91~oAo gn 9g TX 76241 Unable to locate, 4aNrONANARD N 37 ~ MART 76401 09N 1TPNRNARO N q7 r MARK + q/9q/9l 41,65 74901 No rosPOnceta collection efforts, A r - , ti, DATE 1010210l 7;07: FL 014 MEM0R 1 AL H 0 8 P I TAI PAGE 7 BAD DEBT TRANOPER REPORT FOR PERIOD 9/01/81 THRU 9/30/81 PATIEIJT IJUf1DlR NKwNNYilyy PATIV T NAME NMKNwypyy yNwNYKNN OUARANTOR NAME ywrwwr~y PFX IJUllue1 NAME, ADDR, C , By, TIP NA F., Ap0R, CITY, 511, lip g E DATg~}F BA AN¢g ADH17T$0 DESCHAROpD 4JR1TiOFf OFDANT yA 9U 701 IU600 {aL~{ p , BOBBY IO rp RONNI6 ,jpX y PONOL'N 33Z Tx 76259 FNARR 404 4/11/9! 4/29/6! 3tl.00 201 27794 H`ALL~'g TEMonly NqA L{ , TIMOTHY 6209 Arra3/2p/6t not kept, alhTgtlY7Tti TX 76204 D T(1NT1'I8 9/29/61 60,25 101 tdb37 8A8IL gp . tt TX '76201 Neyedi left 110 address, A PIERNyy CYNTHIA JkpltllriVlt+ CYNTHIA 6/04/410 6/07/90 9/99/61 690.65 1 7X 70234 I;A{f MCRB 011i Tx 75234 No response to collectfon efforts, 101 27070 Fudp JOI IN 16 MHGNpp tFi97 1 pYVLLA 0134 ,tI]f 1EI LA M134 ' Jg11N a/01113t 9/01/01 9/29/61 239.55 r+AH!Ary T% 76201 d2Nr4N TX 76901 NO r9S110116e t0 Collection effort, = Sop, 2469 Y pprr , AMANDA UM jI IIiitUA rr grag AYE MIIP 67 J1 TE MHP e7 , RICHA"D A 4/19/41 6/15/81 9/29/9! 136.60 EI VILLE TX 75067 l wt VILLE Tx 70067 Balance @ftor Insurancel no r@spenso, 103 13003 H R1pp' eflakRY HAIL 1 1 iATYiMgRE 11 0/20/61 0/93/01 9/29/61 1267,95 i N drN+ rx 76201 t)MTONAYTi110RC JOHN TX 76201 No response to colldGtfon efforts, 101 20Og9 kA ¢pppp% 1? DAVID ~IA 8 DX 12 EDA 7/!t1/1j0 a/Ot/80 9/99/01 30.00 1 JUa71N Tx 76247 JUSTIN r 241 22975 lIAtltl0 tlYCPMgkB TX 76947 Balance after Insurance; no response, q JA1129 LOS IJA 6O68Y ll i[ 406 gg 13YCAMOR$ ' 10/1'5/60 .00 N 9/II9/9t 5 DK 4M TY . 76201 fJ qN YX 76201 NO response to Collection efforts, 701 27336 pp~~ Igg LINDA i ) ~BNfQX 140~1 RtlBBRT.,. 3/09/61 9/II9/91 30,0 ON $S nx tae TX 76201 hN qJ TX 74201 No response tq Collection efforts, 1 141 II8555 NI.NITAN TR CAROxYN,7bII0i ~Oqj ITAN TR C6O1L n, 4/99/91 0/01!91 9/29/91 516.15 fOl II796t $A 1 9N ON V NT ~ 76201' Arrangwents not kept, pp VggNN EST MY~f TERRY 1 11 42 1N7 V~9TA RT JA8031 4/06191 4/06/01 ,9/99/91 840.25 * ?~e~EppLLE Y% 70069 EN N N TX ,;.,76201 No response to collectlon efforts.: 102 23446 ~p PAR I B QOTH , 0!10206 `HnARRIgONTN 000806 19/11/00 12/1V00 9/119/61 540,SI7 l A 0 TX 76266 IM03 D TX . 76766 No response to 0110010n efforts, I 202 19063 IIARI R~L 1 CARL HApoRbJr~' L CARL Sit/Qb/110 q129/0! fA. 90 E j M IIdUe7tlN T><. 75090 IlA AINHOUBYON TX 75090 Balance attar Nedicare; no response, f I 1 4 DATE 10/02/81 7;07. F L 0 W H E H 0 R I A L H 0 8 P I T A L PAOE e p g TCEN nn DAD DEBT TRANSFER REPORT gFOR PERIOD 9/01/6l THRU p9/30/BI pp gg pp~~ CCgg APFNENTN011DERR NAHE# ADDRPACtIYT e7"p2IP"*NAMR, ADDRt CITY,08TRATIpA NAME wwrwwwMw ADN17TE0 D16CQAROBO WAITBOFF or ACCOUNT 1 T 201. 301,)3 `jflkL[NO , ROVERT 76x01 1110 l.LIN9 RDTXg776>;O1 6/20/01 t0 collection effOrffiq/tli 134 30 1 C I[j No rosPon 1 32275 Y H , PBOOY NA 11 DODGY 8/12/B1 9/29/81 391,45 , q MAIN 87 .!4 }~AIN 9T Unable to locate. 1 MAFi P LO YX 7b06D I-WMF Lip 7K 76063 201 29909 HA~P,9 yCANHDBA IIA 9Htf VIANKSIA 0/19/81 9/29/81 64.50 F I 9QNTWQNDONOERRY 0h YX 76201 ocCNrANDONDERRY 0223 YX 76201 Unable t0 locate. .002 29009 FlpeEyGti . VERNI!WQA H 6 VERNfIBBA 6/10/81 9/29/81 91.35 b7A3 TAL9g7,PARftNAY 197523;1 C^ Xt.80T PARI4NAlf TX •70232 Unable to locate, 401 26575, u~Sf fCp RO111T lJ HM1o flOBHRT: Q/132/81 2/13/8{ 9/29/8{ too. 85 3 1 OALL,igRANADA YX 75205 fAALLAgRANAOA YX 70200 No rosponse to collection 000rts. SOS 25083 D N ONWWtlhE89 uIL7XAH76201 O6k eRgWOREDB wITX3A762g1 Nol~e pone to collection effo ts9/8i 108, 00 I 909 9988 BE,VCRLY . HH[i L1050e, , JOI*"Y 12/02/80 9/29/81 36, s0 NTON IX 76$03 OrtNTpN YX '76201 unable t4•1ocate, } 211. 9989 ~ NY D* BOVTXLY 76201 D NY [N DE ~T Y7b201 URableto6iocate. 9/24/81 70.3$ ( ? 201 30797 7~ ~WUB KATHY N TL BC~B 6 MEALY 6/29/81 9/29/81 103,00 1 76201 FbYOd} left no address, NY N TX 76201 C< NT N TX ji Hp TNg BRENDA YT , BRENDA 10/10/60 4/WN81 ffi01 20087 527. 0A DJ&T PTUNII JIA NEPTUNE 1 l TX 76201 NYOND, YK,, :76701 Arrangement, not kept. S< t 703 24971 N LEBTX, 76266 ~~~OL ` I LBYKtK se 76266 NO response to collection effort29/Bt 36. 00 4 1 I 199 61866 oo KAYE jHjOObLYD~D RALPH 1/15/79 l/l9/79 9/29/91 450.00 I 9D 1411 YX 70067 1185 OIJ1LOICRO Vol$ N NT TX , 76201 Arrangements not kept, ffibt 319'30 }~Q~~E~INDAV28YA BRYAN N $LL 9RYAN 712001 9/29/6t 30.00 } LINDAVIBTA PA CA - 44506 CA 94588 No respento to collection efforts. I i I 417 1 I i 1 DATE 10/02/01 7:07: P L O W M E M 0 R I A L H 0 8 P I Y A L PADS 9 r DAD DEBT TRANOFCR REPORT FOR PERIOD 9/01/6! THRU 9/30/61 t~ PATIENT 14UI10ER V4*** 1 ;v PA1'jggjNT NAME MYMIIiIMYMY A#****** OUARANTppR NAME iYYatYrM{1 pATqq pA~g ppA7g8 R DALANCE ~ NFX HUMUER HAMS ADR, CIYY, OTr YIP NAMES, AODRr CIiV. OT. 71P AUMIT fBq D16CHAA0Ep WRIYEO~Fr OF AnCOUNT f( 102 24721 bgBR@pWAOHINOTn11 BARTxRA 74027 p?1 A0 IVAVQ FTNOTON ' BAROARA76256 Unable to6locetet/23/61 9/29/81 1536.30 j1 r1j ee 1N 1 I ~ 209 Oat? HIIFEIIII.unAO r C1{AR1.E6 151 IISQL!•w~gD r CIFARLEtt 5/12/61 9/29/61 194.80 i 7 L IOV I t.Lfi T% 75067 L ISViLl4t YX 78067 Unable to 10nate. I cµpN , RAYMOND ACC418`11 r RAYMOND 4/11/6t 9/29/61 55.75 J 241 20335 ~f V48 DALES 414 Nt7JALE8 I I I 161 1 ALLA T% 75220 ACCLLA TX 75220 Unable to locate. 101 J~SIKU0~COONA,,D 6AWTXA 76201 N"p UOONALd CA T% kL 74209 5elen0 12/97/80 after inS10oC@On0 rOSpOneO~ 215.60 204 14596 JAp 6p , DOLOR" Aq~t 6 I.AIAIENCK 5/97161 9/99/01 53.00 c 6N OP1Lp NORTH RD YX : 76201 CN ONLU NORM AO TX' 74401 Unable to locate,. + ,Ii } E t 205 14598 Alig DOLpREB 11AMr6 LAWRENCE 4/09/61 9/29/61 20.19 9q25 OLD NORTH RD 1q2 LD NORTH RU r ENTON TX 76901 pENON TX 76701 Unable to locate. I / 206 t4596 B DOLORE6 AM 8 , LANRi'NO9 4/11/81 9/29/81 '30.00 1 i I OLD NORTH RO 4R LD NORTH RD DBNIUN TX, 76iZOt ON 0N5 YX 76701 Unable to locate. IIII i~ 201 30144 111T N~AN CYNrkIA 76201 6UN Nk YAW' CYTxHIA76201 Unable togloCOte. 9/29/61 44 90 I IN Q , tot 22235 JgtlOlF(tN$18GONg JAMES fl14NS6V JACK 9/23/80 9/26/60 9/29/61 129,41 y ) AV9RY TX, 76227 AUORR YX 76427 Arrangement$ not kept. _ 9/29/61 175.20 I { 20t '29266 B [ V'AYET. P. #I ' JODY% 79047 "9 WADY SHORES ' JOYX 76241 Unable to locate. 4 i.0 Y l 201 31341 LON6~lMWtlD JAM6% 75067 4 iWl8V~L4B~d JAMES 5047 UnebleltOg600ta. 9129/61 154. 54 201 29754 J~NNdgg LL , JIM ppw3 gg , JIM 0/27/6! 9/29/01 47. to R , IIOX 166 7 BOX 166 3r R ANOK6 TX 76262 IOANOKE TX 76242 Unablo to locate, y apgRaADY 71 it" gAOY , JOHNNY 4/17/81 9/29/21 99.75 1 201 205t7 DN1'tlN JCY%Y 76201 DTN Tk 74201 U6610 to locate. 11 .r. , r, 1 UATE tO/02/81 7:07; F L 0 W M E M O R I A L N 0 8 P I T A L PACE l0 t BAD DPOT TRANOFER nEPORT FOR PERIOD 9/01101 THRU 9pp/30/8l l~1 PATIEtJT IJUII UR rrrr+rwrr PAjjgVT NAMg+rrrrrrMrr rrrrrar* DUppRANTORYNAME rrrrrrrr A1)M177Hq DI9CIIANOEq ~fAII(EgpF OFgAACCgUNT NV11U - NAME^rAUOR, -f, 21P NAME , AUOIt, C[TV, 61, 11p - 20l 20319 JONE9 , KA61:Y RON 880% 43 , PAUL 9/01/P!0 9/29/81 32.00 RATTUURBYgq% 43 TX 76227 AUDREY Tx 76227 No responso to collection offorts, ngN PER LEON S2/10/RO 9/29/91 16.00 LOl 24010 S6N"T8RUQOELL N27 LEON J$OE8 RUAUELL #27 EE 0 TX 713201 9UNfnN TX 71201 Unable to locate. X04 SA672 1Jyrg~1N 9p LINDA tlbOppfOtJODU 1014MV 12/27/00 1/03/81 9/79/91 867.09 pBNYUNUUNdOtl TX 762Ut UOIJiOIJ Yx 713201 Arrapg@Inonts not Nopt. 1 8 , DALLY 7/00/91 9129/81 19.00 l t 903 21004 O~OUIBE APT 0 1Q7LT% Y 7620 it 0O 8~OUISE APT #107 ON T I D NPf1W TX 76201 Unablo to 10Cat0, ? 1 301 32-327 M WY 70 NURTM 03Y 75090 ~N}pNY 70 N Nil ItUTx 70090 UnapOtto elocato. 9/09/01 73.00 if ) zN tt LINDA l0/14/90 9/29/91 152.20 241 20827 uTAR68O>! 101 NANCV ~YA52flOX 101 : ENTON TX 76201 UUUENTON TX 76201 No response to colleC ion efforts, „ 1 "1 y PATRICK 4/07/90 9/10/90 9/29/81 tot& 70 i f 101 11799 80x 2133E PATRICK k7 ~OX 263 P At10FFtt~~'Y Tx 76727 , AUN 8 Tx 76727 No response to CoilectlaR efforts. S01 20063 KAggTB , KAREN 1K1Ag Elf AOgIdOAlt 09NE 12/07/00 11/10/00 9/29/81 1013.17 K tJ~O U AOOU OAK TX 11201 UCN O TX 76201 Arrangofnonts not kept, i tot .29329 HDD E 1Np WELDON " 1N WELOON 6/13/91 0/18/01 9/29/81 1981.30 R 0% 129 Tx 76277 MORCYNX 179 T% 76226 Unable to locate, 1 1 AUO EY 20l 72593 ' L N JEP ngy IfiLANMP0ELL RON 10/04/80 9/29/91 53.00 14P BELL C A jT ~ TX 76701 DENTg T# 76201 No response to collect{on offorts. RANCOLF b/Q6/tii 9129/81 097.61 201 3076b- WOE H 0 i RUTH 4a~OMARONALL BT 0T Tx 76266 Unable t0 locate, Ap01 I Tx 76866 8A ER I Y ' { 202 0160 JjNN9Y MOx[2 1@N Y MOXIC 11/06180 9/29/81 46.80 is y , MILL Tx 76201 1DCQitNY NNMILL Tx 76201 No response to collection Worts.' 10/9 I~ t >~Of 2Q387HfT6oBf1i?u0 LO'r#3'4 LggTN 76271 t:li1T9U0R0 LOT #A4 4ATXY 713273 No lose nselto cOller.tion effo ts2q/B1 30.70 ~I t ~ S. a DATE 10102/Ol 7:07: FLOW MEH0A I AL H 0 6 P 1 T A L PAGE 11 i, DAD DEPT YRA148FER REPORT FOR PERIOD 9/01/81 THRU 9/30/81 PATIENT NUMQgR I~~wrwwwit4 PArt NT MMAME wwwwwwwwr wwwwwwaw 0uARANTOR NAHN #44#orrr' DAT g p~r E DATgUF . DALANCE ' PFX NUMDEN NAME, ADDR, CS Y, To ZIP NAME, ADOR, CITY* ST, 71A ApM1Y1ED p7HC1iAROED r1R1YE F OP ACCOUNT 201 20169 KLN ANN KL1Ng ANN 4/03/91 9/29/81 16.00 bb0 ARDINAL W AqRD(NAL 1 ts. TON T% 76201 DENT011 TX - 74201 NO response to collection efforts, 201 26627 u ~VE FN1 i BTEPNEN . KNONLEn DAVID .2114/61 9/49/81 38.00 1 NT N TX 76201 Arrangemonts not kept, li 101 ?6967 K N$ ZUU Ulm ZUE 2/12/81 2/20/81 9/29/91 18(4.25 1 N7~X N 33076 TX 76204 µk3tl07b TX 76204 Unable t0 locate. pvt E 102 23017 K NjOJOX 970-A MICTXEI'7b201 D8N ONn% 476-A D1Tk1876Z01 No rOSQ066oto CO111ect1on 0 efforts, 1117, by 1 pU q g i€ 201 14884 LA CA KUQSYIJNER J TX 75146 LANCAlD1 ERpTX JOTX 781 46 No response to collection efforts, 16.00 ER i , 201 28044 fISKL DAZNO DENN10 DUYKgNNDA N DENNIB 4/02/61 9/29/91 38.00 OIKLAIi01i CIY OK 73103 011LAllOkA IT UK 73(03 NO response to c011ectloo efforts, r 202 12119 ti 222-KO ' WENDY RAIIEpprr CAROL 9/98/91 9/29/91 18.00 ~OhfX T. tlAX 222-90 1 AUb E A YXX 76227 AUURNFEApYY TX 74227 NO response to Collection efforts, 5/10/61 ,l :20! 24374 q HM q ~AUNIVtR87 YMtlHTX7 76221 D NT 11 ~AUNMR9ITY M7TK 76901MoYedl loft no address. 4/79/81 6Z. SO T I A F 201 22822 L LAWRENCE Ir~~gg LAWRENCE 10/11/80 9/29/81 32.50 b W OAK APT 30 QO OAK ,iPT 30 pNipppNgqpp TX 76101 NTOnnNRRaa TX 76201 No response to collection efforts. } 2 14093 1t. 0 P8'fUART ROAD bRRE4EKAH L1~A~OnpPtlTUART. 0009PH A 1/09/91 9/29/91 36.65 A N JON TX 7620t DEN7ON TX 7620! Alrang(monts not kept. s I~ ~1 } 102 14312 0Aa4 IDOrCREeT LEBLEA ~jO~HfiIIDOECRE87 WILLIAM R 1/RI/81 1/93/01 9/24/91 722,60 I f ( ~ENTIN TX 76201 DENTON TX 76201 No response to C011eCtion efforts. 11 1 203 3334 Y K JOHN LQr6P , JOHN 1/04/01 9/99/91 274.70 ~ aatl OXCROPT ppO4 OXCROFT 3 } I1N,0 TX 76201 EONTQN YX 76201 Arrangements not kept, 101 22677o~6NRUDDELL OW6TX 7b20i DHNTaNRUDUBLL OWTX 76201 NO eresponeA to coilectieon effort2sp/81 373,35 ! Ae l S I I 6 F 1 i l 1 1 DAIL IQ/OZ/UI /oOUr F 1. U W hl l{ 1`1 O I{ 1 A 4 II 0 8 N I T A L F'AOIi 14 } qq BAD DCUT IIIANOF'LR RCPORT FOR P6AlOD 7/Ql/O1 711RU 9/30/Ul PArrrxGIJTIJU111M3LHR NArI~*"ApifA~A~T~7VNN r BTHEiINM ~ NAME0 ADpii*MCITY.OAA a1ANTOR NAME My►xxANm DATE pq(gOEp pI pP ADMIITBp D1nCIlARRTgF BA 1 [TEOPpF ON ACC O V NT _ » _ I 901 26ilCl ORO Joy , 12/27/00 9/99/01 104,00 , L T POINT TX 76250 lot 1e377 4 No rosponse to collection efforts, D~f?qN grl9 AYNH lis tAYfiE OY19 S/27/90 3/09/90 9/89/91 763.00 I TX 76401 D(N OI~ YX 76241 Arrangements not kept, ;1W 17691 RRT( OF ROBERT LPF~L AOBERT 5/stb/91 9/29/81 a 7, 4 11OF 39.20 1 T% 76201 U9Nr N TX 76201 Unable to locate. I, 201 29668 L f q CLINT I. }P CLINT 4/21/81 9/29/81 60. s0 1 1 ~ AH8{.AfiD , L i I VILI.BND DR TX 75067 L1t1118VILI N TX 70067 NO I• WnSO to Collection offorts, 10 { 403 4176 T F~V{{A8 79RT%A 76201 NT PA9 CHT~48976801 Unithi d%cate. 9/29/81 66.00 1 w Na 1 201 30972. L11 It f CIO L }IN IONACIO 7/04/81 9/29/9! 70.65 l Oil a NORTH ELM 4TA ff 0pp D NqR?{I ELM DT D NTON TX 76201 I? NTON TX 76201 Unable t0 locate. i lot 24099 ~JNJOV LANT I DX 924-A ~111~OQ0% 924-A TFi0MA9 R 14/t8/90 12/19/90 9/04/91 528,50 X 76701 D N ON TX 76201 Unable to locate. 102 2649 [1N0r3R DEBORAII IN JBRAY 3/29/81 3/31/81 9/99/91 8AN OBCOND 9T ~~ii► qq ' SdS, 40 ,l 1 TX /6266 8AN~9R 201 TX 76266 Arrangements not kept. 1 p 202 19091 I~Npp$~ligg ' JgfflJ ljp9Mt1D9AS , JOIINE 10/07/90 9/29/91 32.93 . $ 7 AMD8R9 4kL7 IAM } TX 76201 A,Nr TX 76201 no response t0 collection efforts, 105 8269 LStoglCllR7GtDDO8 pAT1Y ANNE tICAR UOE JERRY 4/11/91 4/lb/9t 9/49/91 809.20 } °ANOtga rX 76866 4240E b TX. 166 NO reSpbnse to collection efforts, 24t 07545 ~ AX WILLIAM pp03A88X ORAOSHAW W1LL1A'• 3/14/91 9/29/01 39.85 ( ) gYONDAADBIIAW TX 76201HNTOF2 7X 76901 No respOnse to collertion offorts; j 1 20711 MALO 8 808uY MA~ BRUDdELL DIANE: 4/23/81 9/89/91 339.00 qqUry7 RUDDBLL o DNN r j Dp2JN7 N TX 76201 DE~NYgN R IX 76201 Unable to locate. E 5 ZOi 28559 $f17 NDgp i{LL 11ODT% 76801 pQNpO DELL UOTMY 7 4/10/81 9/29J91 31.00 6201 Unable to locate. I p { I I I T DATE 10/02/91 7:08' FL UN MEMOR I AL HO9P I T A L PACE 13 I BAD DEBT TRANSFER REPORT FOR PERIOD 9/0t/81 TNRU 9/30/8: PATIENT NUffipgR YY4MMM*** PA77IIggN7 NgqME •MU9NYMYY 044*4 04 OUqRANTOR NAME *000**** DATee oppp7g pqTg ppp GALA1.1~ pp PFX NJMUER NAM6o ADDR+ CITY, 8T 2IP NAME. ADDR CITY, 9T1 ZIP AtlN177Etl DtDCHAROED W111TEOFP 6F ACCOUNT 301 30660 171Aa»RO~I~~'~LV klLl.• ' RUBER7-»`..`-» 70AOt~N11pLLV MfI.L»^ ' -ROBEFlT•r»--- -6/:14/8! 9199/81 rY-_--38,00 III PALLAO TX 76231 OALLAD T% 79931 No response to Collection efforts, ~j 201 29056 OQ BL•LL #119' AI.1f% 7610: ~ApUj pD. DELL #[W ALI 76201 Undb6/05/ I4OCdtO• 9/24/al 33.50 l fi 20t 2D324 ry1Ypp 1 VIVIAN HA~`~~('})! VIVIAN 4/i1/9. 9/29/81 20.00 D@NTONALNDON 2-121 TX 76201 DTOIALIIOOW 2-121 T% 76201 Uudb10 t0 locate. 1 103 24504 yC'LU JEIJIIIG MME~C%tCEBICUpa~E JEIJIJIE 7/25/01 7/26/81. 9/29/at 247.35 e U%COIP 057 f% 76201 t)UIN,,70lJllls #97 T% 78901 Unable to locdle• 1 202 76013 $SNTC~AIIF'ORp RIC7% 76201. b'TCRANPORD FR7XCE076201 Unablo t0 4/;W Vi 9/29/81 38.00 r 1 101 24979 M JIAM11J00 RD 0203 ANITA Mg8;A~{ INOU RD N203 RICARDO 12/22/90 12124/90 9/29/81 70.00 NO'fgN TX 74001 07131 7X 76201 No I'e5penso t0 collCCtlan efforts. 1.01 22734 6M 4LaRp DRGNOA 6H60 L[A1RII BRENDA 11/06/90 1:/12/80 9/99/81 1749.10 NYDNMULBERRY 7X 76201 DENTEMULDERRY TX 76201 Unable to.locato• 201 21232 , bAV7X 7630. D NY 1. bAYXO 76201Unab 0/91/90 9/29/81 147.00 RMAM DRIVE I ERMAN DRIVE • 1 101 28059 M I ER PATRICIA Hi LLgg6 PATRICIA 4/04/01 4/09/91 9/29/61 957,99 ~ N ONHE9TNUT TX 7601 HL+NTUNHEOTNUT TX 76201 Unable to locate. f 1 ! 301 24793 N~ nA~10UN DRdOKg' LORYX 79:54 N0H0AAUON BROOKS LORAN 715,154 NO retpOn5e to collection effortspq/8t 73.00 1201 31921 ILI @D PAL 8/01/01 9/29/01 66.00 k 30Q0 TE AFONB 01 ~ONERYXA 75665 Unable to locate. AL11.. 9 r t 23434 LINO 1110HplL M LINO MICHAEL 10/29/90 9/29/81 i20.50 LAY N201 1 cLAY #201 NVER CO 8091i ENV11R CO 110211 Unable to locate, 201. 31710 rVH7~6'0D0 RD MtOTXEL 7690: ffipq+0011 R0 ' Ml7xAgL76Z01Unable/to ToCate• 9/99161 f3. 00 bk~ I f 1 p...,' mr , DAtE 10/02/01 7•.00: F L O tJ t4 f•. ~I fl N f A L fI O 8 P I T A L PAVE l4 DAU DEOT T17,11Jl1FER REPORT ITON AERl9U 9/O!/BS T1+RU 9/30/81 gg qq pp •(nn AONIT EO 018 t R08U WN2T£0 F OF ACCOUNT { ~ )I PAT%L'NTIJi11DElEtR NAIIE~~AUOR~~AC11'Yr ~TM~YIP~~NAMEM ADUti*NVl7Y,OpT~AZIpR+NAHL~N«y+IwNraa NyUAT~+ry _.C IAE... DAT^V yMBALANCJy' ~ r` ~ .v 4/02/81 9/29/tlt 40.76 201 28Ab9 kE'OUii >IAL No responso to collection of forts. ` 11p~ 0?% RY ? YX 74?:?7 I AACUULREAVI. I¢¢0 gq N~1j UU 20t u')9tl iQ17UN~~DCI.I. k114~ ANTiT1xNY 7b:tU1 1)kNTUr1UADLl.L N114 ~ ANTxUNY7b201FbVed~/ eft8no addross. 9/29/81 72.75 l 207 tl9tl 7 ONKIYNOU NOW Jl:fiRY 7~p11lti~NOH NOlI ' JL>IiRY Uitabie/6031ocata. 9/Q9/81 103.76 D~IJTON T% TbJ201 UUdNTIOtN TX 76201 ' l JUI 26905 I- pp pq ~ RtCNANO N~j I'pAttApp`` r: ULV33 ' f11CIMR0 Nu rusQjwn eBto collection efl'or~ /29/Ol 153. 79 , k ~ ~tt~1~LANTI~~ BLVD FA 3290;) ~N~IAI.ANif~ PA 32700 I ~ ~ . p 701 20992 pt`yI OIJi1 R 11ARR c`IC[~19IJ IMRUItLSNE ' 11AHM N9Vad~lufke+w address, 9/49/tll 139.00 k pAl LA8111UftILINE TX 'ly2?l 6ALLA~ TX 79241 l 3/iIb/tll 9/24!01 144.90 201 2%016 i~~~0~t ' Nd'NE 2064 ROYAL 1)N Ni2571 D RAI~~ 7X 16x01 DALLAS 1X 7927y No response t0 coilectl0n efforts. ' I 10l 70997 IuY2Yq1111I ~ BANTIAOO ~IftT4IIIt , BANI'1AOD 4/19/8/ 4/44/81 9/29/01 1546, 70 1 ~T q ROx 3t7C TX 7b?Ot DDLNYOf+O% 317C T% 76901 Unable k0 IOCatB~ W ON ~ t t ?9x43 ptA2nY0NX 1991 ' LO19 P~~Rggaa ~ L016 7/!3/81 9/49/Bi 104, b0 • WW T% 7bR01 UE1'ftlNRN qU, TX 76201 HoVedl loft no addross. ' ~ 1 201 '20330 pkATL141RR60`~R' 8 811ADIf HNgR~~l1 ~~LFIERpO•X1R3 $ r 4lSLLIAM x/11/111 4/49(81 .69,46 LgN6 DALL~~ T 7JObg Ic~ OAI.LA~ TX 700ti8 Unable t0' locat0. I~ UU11 ppN gg , LAWIiHNC~ 6/126/81 ~ 9/R9/B1 141.39 } _ ~ $Oi ~30b94 ~~~~C~~„~~ 97fl9127 LANTxNC81905b 7HE~cgL4NY BTgBHT T% 75056 Unable tV locate, E 1 102 17024 PppAYUW~~)X 4 9 , 9ANUfiA RPpAYNpp>E Dp0p , AICl4 9/19/HO 8/40/80 9/79/01 419.60 LAF1E DALLAS TX 79049 LAKR~tlALLA819 TX 7J7063 No respPpso to collection pffo:•tsr t } ,1 i l02 20763 ~NT~tiptl'ER OLATXB 76201 U~NTaNRtY~R ~ WITXIE 7hQ0! No rospons8e tv c llact on otfarksryi8l 144, ay , ! ' INN 2 10265 EApg$t~yi ~ gODItl NggAgTgR ~ £DOEL 9/tS2/B1 9/74/Bk 160;00 ~~NTON~AIL RUN flOAR 7X 76201 ~q~BOgUAtL NUM ROA~1 TX 761201 NO rospunSO to collection efforts, • ! 1, , I i i ( _ ~ ° _ __J i 1. I DATE 10102101 7;013: FLOW 11EN0R I AL 1tOOP I TAL PA06 39 ► BAD DEBT TRANOFER REPORT FOR PER100 9101191 T14RU 9/30/61 -Y PATIENT ItUMBER wwwwwwaww PATSGNT NAMF. wwa*wa<aa wrawrwwa OVARANYOR NAM9 ~tawaww►a IIATgg ppqqTT 0ppT' ~~jjF DALANCt~g PFX hUMO R NAME# ADOR, CITY" OT, SIP NA(Vi ADOR, CIYY, Z ADM1'fTEp p10CHA tiEp ilRl (W F OP. ACCGUNT 1 lot W265 VEAr MAIL RUN R6DEDoIE 1140QYQUAIL flU11 ROAD EDp[E 0103/01 ',7/09/01 9/21/Ot 2117, 55 D N ON N T% 76201 DEN 0 TX 76201 No 1 response to T~ollectlon efforts, C Y NN CC MURC11 39 AM T9 7604 10/09/00 10?24 180 9/29/01 64. $0 01 22779 PV R + TDR7X %6234 Ut: ATUrt TE1'%Y 76234 10/09/00 {0/II4/80 q/29/Bl b4. SO 1 No rosponse to collection efforts. 101 16996 pPEO L'tl1,F)LE NDAD LltlTX 76201 I}kN18N11.E 11105 f)OT i.A6~6701 4/15/00 4/10/00 9/27/01 34.00 1 1(~ No rosponso to collection of forts, 3N, 00 1 101 27291 ~ g /41LMFRISCO NARKTANI~N7S000 l11t~ I%~S~ vrpIUrOPARHAFUIB LEE75Ub0 No r>fi1S ~6U1t4 Cullecllon efforts, r 202 14277 pp``,,tTTIFiY H CAIttT1lRRYN P'ItX IOAAC 0/26/61 9129/01 42.79 ftT, RO% 90 gT F 1109 50 10YAL DL•N~ON Y% 76201 UNT011 TX 76201 No ruspollse t0 Collection efforts, 202 12195 P;ptyy-zl/2 FANNIN ' RaucarO 1l`' RU9r1/2 FANNiN ROOERT Ma/pt 9/79/81 30,00 D1~N'1`ON TX 76201 DENTON T% 76201 No response to collection efforts. Lot 20392 F R7 Lp 090ROE N RZ p g OEOR08 10/27/90 10/.98/90 9/29/01 272.90 1 L WI VtL1E.°riRIER TX 75066 LL'W1 VIl0.l RtER TX 75065 No response to collection efforts, G 201 27076 p 1'ER0g MARCOLLA PgpOTURRC~S'iil DUDE 2/79/61 9/21/01 55. t0 NCFipCYAW pp TX 76262 k AN0111rUTAW TX 76262 No response to collection efforts, t 1 202 5349 60N7 NMULDeRRY AP1 2RETX 76201 0 9 OpNTAFB KECA 3/3{/0t 9/29/61 62.50 No response to COl10ct1OA efforts, 1 21387 ppPHxxll.~7IIPDO CANDY POgiLL~00 ARTHUR 1/09/0t 9/21/01 397,76 HANOHH TX 76266 W401R TX 76266 No resp6060 to Collection of forts, 76026 10/01/00 10/04/00 1129/01 179.30 1 101 20516 DRUMS P' JORE Y 76026 01 LIPtl Rt MANNA 1 r p No response to collection offorts, 201 32159 DHpP OXE Y WORTS nn ELOIE< Ft OOEST WORTH DR ' RAY 8/08/81 9/29/01 41,50 N~'fypaN TX 76201 MINTON Y% 76201 Una610 t0 locate, 3 3 26492 Q~~01gl~rlt, LNCANYd yDARI.ENg PON~rS{r NCANTp Yp ARLUNE 2/16/01 9/09/81 104.50 RANA Ptl1NT CA 12629 ~qIN CA' gtt47q Agromiont not kept. {a 3 r , Y ' - I 1 nATG 10/02/01 7:00: FLOW MCMOR I AL H(I BP I r A L PAGE Ib BAD DF.UT TRANUFCR IIEPUNT FUR PERIOD 9/01 /81 TIIRU 9/30/81 r J I ) PATIENT UMO{,R gaMVu PATIENT NAME t+rua M . pwuMV Cr NAhIP , NMailNr4ll DATE DATE DATE OF BALANCE J i PFX N 11~110ER NAML+P A0 Af1URr 1.17VVr U r ZIP N NAME.. AUDRr C ITY r UTi ZIP IP ADMIT 80 DISCHARGED HRIT6O F OF AC OUN7 1 4 26492 POUNDS gg ARLCHtt POt~I DU UANNV 3/07/91 9/29/01 33. 00 ANA1P0IN7NCANYO NO CA 1)2629 nRN 1POINT"1'hNYU ND CA 92629 AgrUanOnt not kept. 5 26x92 934Ai''81j liNCANYD 0D Rl'CAL '):1624 1iANAI~f~+g11NTNGANIO N6 DANNY 9116119 Aymmenttnot kept, 9/79/91 LOS. 60 } 1 l01 26492 PFU? 9L UNCANrO IIDARI.CAC 9;l6J9 n U tifiINTNCANI'G 111 DANNY 92629 A9reenlv03/01 kept4/09/n1 9/29/61 7901,20 201 26976 N{ND,R(1CgCCg~) YC~E PUCE JUYCK 2/25/01 9/49/01 74.00 Ir 9EN1'ONX 1020/TWIN L~1IBTXPI 76201 0 NNUNAKL MIIP40'J T% 7620INU response to CelleCtlon efforts. I`' 1 201 24079 j N UMC~WiMICK DF.BTX 7620! 11 It 1)(1110 7620SMUYedi/1OftOio addreSS. 9/29/61 33.20, Upi N ANTOF1 i 201 29457 FRUITY -JUDY PTUITTUOX 29 CRA10 5/16/01, 9/29/01 106.00 R DO% 129 R 1 1 Aubtly TX 76227 AUAY TX 7622AnLlo to 1OCSte. 201 30909 P LK 512 pBETH P6y9kE g IZADETH 7/03/01 9/99/81 144.95 9~ SiOUNUO tHPER1AL NE 90240 P Sp0UNDOI.MP1fRtAL AVECA 90246 UnaL110 to locate. E 1 C A u ®rl 201 30363 L X PUINT LAIVTX 76230 PWLIaXIOINT r LAt~YVxEN076250 NO response tto C011ettton effort 2q/81 68.50 s ; 2 q AI NT $ r' 201 29966 R E pp r 0 g0% 0 ROBERT 6/03/91 9/29/61 131.60 NNDNtlX 6 GOLDEN TVA~XR 762.1 11.N 1 Df1 TX 76705 M0ved2 left no address. 202 29960 p E V R JA Q ROBERT 6/09/01 r 9/99/61 45.00 H DU% 0 OuLDRN 7NTA t1L 76201 T~ }YOX 9 T% 76201 Moved; loft no address. D N' ON lot 24265 yyN KAREN I C "I . DAVID L I1/20/60 1/09/61 9/29/81 473. it t 0 1.1VAR WAIER RD 1 pNTpN TX 76261 N, u• OKP N9 0401H Moved; left no address. 207 24321 UYM70NE6Y IfICKORYr ~Jf1R7x 76201 9~N1UtS HICKORY Mt JG7%Y 76701 No rosponsOtto coli0ctim2 efforts. 29/9f MOD C 8q 201 29009 n'7iaRhpR punE ' WILLIAM RU> "e'18OiIPTURE WILLIAM 5/05/01 9/29/41 42.50 eNTO TX 76201 UN ON 1'X 762011bvodl loft no address'. 'f. 1 r I t p f ;Iv . I} i~ , V DATE 10/02/£11 7:OG; FL 0W NCMOR I AL H 0 8 P I T A L PAGE 17 kt b' DAD OEUT TRAIJOYIsq REPORT FOR PERIOD 9/01/81 THRU 9/30/81 ' PATTIENY NUMgppR aaaarawaa PArjg YNAMB rukrrraaa araaaxar OVARANTDR NAME aaararrat 0p g ppT6 OATS OF IFALA B J PFX I1'UMUER N06,A00n,Cl , 9T, ZIPJ NAME, ADDRi CIYY, By, ZIP ADM TIED J1t8CHAR0E0 I~RITOOFF OF ACCOUNT r/ A ' r,rnr.. --swrwnr-yrrr-..r.. ....rrrrrw ..»r rr....r nrr..wrw rr r r $02 197U9QI1JtJ9GN t.AVl1Ni2A ROUINDDIJ I4gNN&TH tl/18/81 5/21/01 9/29/81 499.60 1 1 NJ77U1188. LLOYD TX 76249 11L LLOYD T'X 7*,749 Unable to locate, 201 33148 BNE BX 146 JAM 1` M1'X 74166 n^~IM 6A11X 146 / JAt1 74266Unab a/to/lacat0, 9/29/81 123r 00 i q tlyy 201 27yI1 ]74' ph0H RD. 11231 ORAUY lla; i'AOt IIU 1123 ' ONAIIY e/23/8l 9/q9/111 68, 00 1 DEN ON TX 76201 WM N TX 76201Movedl loft no address, 101 20324 Ayril / ANUIIL14 AygCK ~ ANDREW 110101 1/07/01 9129/01 423 16 1 , R T 112 6, R001ttIGON TX 7626t 'SHNY lJ2 E NUMMON TX 76901110 rospudsu to collection efforts, } 107 11372 AL GG JAME0 S36WAXE , JAM 12/18/80 12/21/60 9/29/U1 706-05 I BNTONAMF.H OT rX 76201 BNt NA11Eq 8P TX 7620INo response to collection efforts, 1 1 :101 31010 U N ONaX 7'28 NpAL'uLTXG 76201 nlN~pN Ox 79U NgYXts 76201 Unable/too locate, 9/29/81 191.00 z 203 24717 N7gN6X 268 T14IN LAlt6?XM 76201 PKNTONX 266 TWN LA ORS%DgY76701UnOble/to locate, 9/29/81 138.26 x; 101 28049 1{211 77 JOANN ptlMf WHAT 9/17/80 10/02/80 9/29/81 271 JO ~7X 117 ~T 6I~ P 127 1 N'O TX 71201 DI ON TX 76201N0 responso to collection affoets, 1 BOt 30300 WAR ALICIA MAR OEOR09 6/13/pt 9/29/81 76.00 'SD~fGMF101Jp TX 76201 .}.60tITEMMGNB iKOA1 TX 76201Ho response to collection etfoi'ts, i 203 11193 Fa66y+ppA^yR~l) CI.IN'fON IpIt'PAt2MERY DUANE 1/13/81 9/29/01 230.97 Y HN1Q14 TX 76701EItJTO}V Tx 76701 l No rdSpans(. to Collection efforts, ?Ol 24903 gH'NJIgtiO RUOLR y1t3P}IAR 10OER 2126/81 { 17` , ti 11 9 g UENACA 61' l 9/29/81 40,00 W1 r 1 ttIL~N9 ,gy 6NECA 9T Fit A KA 77777 NI rA KA 77777 1 NO response to collection efforts, , I lot 24077 p}{ a~qF AONNIG I1gAF , RONNIE 12/00/80 i2/13/80 4/29/81 1912.96 a. 1 pr2 ppOX 360 T 2 Box 190 1 lSNlUV1LLE TX 70067 LILL14 IOVL.hE TX 70067 Unable t0 'locate, wl 201 2497. 1119 11ARK C F LANA 12/21/p0 9/29/61 36.00 ~ ~saLdnF tizaf;' ap gas k s NY N TX 76201 T N TX 76701 No response to collection efforts, I ; Fri fJ, )y 5 ~ F a ~1 t_ s•' DALE I0/02/Ol /:0'), i° L 0 N 11 E M U II I A L 11 U H P I T A L PAUL" t0 UAtI UE'Uf VIANUf'Ial REPORT FOR PC;R11]D r)/O1/OI YIiIIU 9/30/01 PATIENT NUMUt~R Mr NANPI*d111WOt PATIENT NrIIE F'F'X NUt1UCR MMNNNMxMf NgaN4gNM CUANAryry1'i)II NAME +rrrNrNNa pp ppqp 1 t' , AUllN, CITY, 81~. LIP NAME, ADDIP, CSTY, 13T. L11' Ab71ITfiLO OJOATJODD DA111rpk1f OALANCE - _ _ _ OF--ACCOUNT 20t 22782 111~TVQX 114 DOWNA 0M1TH DONALD to/09/8J / 1 i YLk Et.M TX '%0060 1[7TLXkI M4 TX 75060 9/24/81 285, 68 / No response to collection efforts. J 20l 37372 1 Htl R80P.R pt 1111 ROGER d/10/81 T 1 N'0 OK 10 T R Y9/81 71,50 X 76201 UNIDNBX 15 TX 76201 Unab), 9/ locate. " 201 31088 tll ~TN (JIL{ IAM F{}Qr71r9NN W/L1.1A11 t0 7/07/81 I L PIYj~~ALIJBI.DING, 7k 79067 i~Ef/I ~V[L( EGLUINO 9/29/83 43, 50 i" 1'X 70067 f Urlable to 30070 TxX $12 Dually 1t4 l T'f !I ; OOUOY 6/22/01Cdt0, O N ONO Y ! Tx 76221 Wv'lox 911 9/29/8! 38. 00 lot 27644 gAIDO0CUZiT HAROMET AIN fT r1AR 3 TX 16201 Unable to locate. 1 II Pte! pppl DANNY 6/t7/ 9/29/81 H34D WORT>( DR kI/U 81 6. 1b/Ot 73.97 i ! dHrdTON TX 76201 OLNTON TX 76701 Unable to locate, t 201 28030 sgoIJdg g r MICHLL4 011 LL PELtX 4/01/84 ' IR 1 18IJIS~JI GTE NORTH TX 75067 ~EP16VIiEiO~f d Tk 75067 4/29/01 65, 45 f 207 6307 gPg+p RIY JdI~MI ER Ulrablo to focatn, I Q Q~ 2!389 VACATION 4 A ' KARTSF! /13/Hi 9/09/01 38.50 r+ vv4OX QBtl9 VACATION VLOX 16201 s ) 4 7&221 f, NTpN T Unable to locate. i 141 11933 JJJNI Ii`/ i MY NLg IltiFl Y E1lANgER~ XANOER 6/00/81 6/15/01 9/29/81 0315,70 T TX 76201 L•NA Ix 76201 No WANOA response to collection efforts. t tOtb } Ap'DOX 104 ARR JERRY x!/10/91 ^U^ T.X 76227U OOX t94 9/99/01 33, 00 TX 76227 Unabld to locate. 101 24600 U(f1f~U77~CAK RUDIYR7 f0pV 11COVIT tR/0q/p0 t.t/!4/80 9/49/8{ d72, 95 ' U NTON 00 ~OAK gM TX 76701 ENf01! per g 7X 76201 Unable to locate. r, 20l 70629 9~TCRd9V00D RICHAAq 2 1T~&fiWhOtl , ALAN 1/17/01 9/29/61 90.50 1 DEN 1 ON TX 76201 131:N70N Tx 76201 202 20120 ORUti pENNtB AdnkruptCY. K E Owl U RUE DEN 119 A L/26/9f 9/29/81 119,25 T RA VE EM101 1 N TX 76201 tGTpN 79 76201 201 20190 T M OSCAR R 7u7M OSCAR Unaba/06o11cato. 9/29/83 q N 0 pU0U0TA TX 7620! R1)-NTLINUOU6TA TX 76201 Unable to locate, 4.75 N t` L111-7- 0, r 1. i( N M r,t. RT UAIG 10/02/US 7:09. F' L a 14 M L•' M V Il I A L It 0 D P I T A L PAGE 19 CAD 0110T TRANUFLN RtPORT FOR PERIOD 9/01/01 THRU 9/30/01 PATIENT 1~UMl1ER N4wu4usn*PATIrENNT NAMEuau4wwak4 A4MY1flMM 0t~pRANYOR NAME Mu►au4µr DATE DATE DATE OF UALANfE IIFX tJUMDER 14A 9, ADDRi CITY, ST, LIP NAMC, AU DR, CI'fV, 871 lip ADMITTED D18CIIAROED WRITEOFF OF ACCLSUNT + 101 27253 1'`K10l S , TAO T111HOND fAU 3/06/01 3/07/11 9/29/01 174', 00 2@0p IIILKDRY k2 U200 0V HICKORY 02 DEEENtU TX 76201 Dr,N lI p lp TX 76201 VFIdblo to locate, 202 47783 N'ja~"IlICKONY NZ TAD V X 76401 Unabp Lu/ldocate, 9/29/81 99.50 T% 76201 N tlIiUIIICKUIIY N2 TAD TX 1 gg JOU11 UN 12/10/OO 1St/17/00 9/29/81 379.95 101 24793 TQIflgUPRAIRIE J00E JIt 14f4R UI'f1AIRIE 1 D$NYON TX 16201 KOIN TX 76201 Unablo to locota, 201 27441 Rf NR bX 9 JUDY I!1'IX%X 9 CANROI.I, 3/131/0,1 9129/01 62.$0 1 $ 1 e 1 ALV N 7X 76259 AI,V ILR+rttO TX 76155 NO respon5o, NQI1 Y l 102 27548 D4NTPN ~E N121 TERTX 76301 ,10 ~Oi~E N121 CIiTx1G876201 Unablo CO/pocato,2/04/81 9/29/01 1369.94 1 lot 77309 V/Ad IDE JOaE VALIlEU JaOE 3/10/81 q/47/81 9/29/8l 3041.70 3 7 YL11 2477 TYLER U LLA TX 79284 DALLAS T% 79224 No t'esponSO LO collection efforts, " 201 30818 WQL~H l JAMG9 gWQAL NNN JAMES 6/40/81 9/29/at 38.00 I MO 64117 Unable t0 locate. A ANN BCpp W.."' gg MO 64117 KAN Ad CI~YAIR 201 78544 JAObp Y t1gRYH DR N19AURINA "AvT WORTIl'DR N19CONNtE 7/27/dl 9/29/81 30. 00 9 ) Nrb~ TX 76201 DUNTON TX 76801 Unablo t0 10c8ta, 401 27470 S1pQ7 0 I DARUARA WAOaxTx$01J BARBARA 2/14/81 9/29/81 6D, 70 D N ON 364 fX 76201 86NHAM TX 77033 NO response, 801 77627 WB LB g ILrR WANDA WLa~DESWIi~1l1.CR WANDA 3/18/8t 9/29/01 18.00 'r 1 q NCF K APT C YX %5240 ~gmil CEK APT C TX 75428 WAN to. lecato, ? C H 101 ` 21137 (.1rq140dxp -1NOA W LCO6y( RAYMOND 4/.00/81 4/03/01 9/129/811 493.28 ,y ; 1 q 9C R S OX 122 C a ? 4 INIX6 11-d TX 76240 0 INI?BVII.L.Ii T% 76240 No roSp0nS0 t0 collection efforts. tY 401 q1497 i!L1.KIN9 , 20881E W LK1N9 , JRdBIE 7/40/91 9/44/95 141 00 NEI LUCUBY N20 91 9 LOCUST N29 i% 76201 Movedl left no addross, } I7 ~lT% D RYX ?61201 Rw1) Nigh p 401 49377 p ~1 BBX d ACORN RANC~xRA 76510 1 fiLLjAMSX 8 ACORN RANC N t1XARA76401 0/118/B1 9/29/81 334,00 NT N IIz{, > T Unable to locate. V lj 111 > _ , r g., t _F A is 1 z, If . r; f=' d 01 i r I t, ~1 r n 1)ATL•' l0/02/Df 7: U9: F L f3 U M fi M U 11 1 A I. H 8 p [ T A L IAOk ..0 OAU Ot!UT TRAN3FL•'ll IIE°.pDIJT FUIt pCR1UD 4/DS/81 TI{RU 9/30/tlS g pp DAr~ [Sp UAI~ANCG ! ~ pATI(i1JT iUISO~cR# #~+aawa#wa pAYICN'f (JAMC! #w#Nart#Yw wsNwaw## UVAHANTfIR NAMC wrYll##Y# ADMITTED 018Ct1~~0150 WRITEDF'P OF_ CCOUNT 1 pF1l Ni~iSU(±fl NAMEr ADVIir L f r tlT. 2IY NAME, ADONr CITY. dTr 11N ~ » Y 5 1 101 »tODGb 1WI ~`L lI%J6lf»Ia`M~y»rr ~~nYIICR»J •+w pW[1.1.IIku~~gq11 r t:dTHER !0/7Q/74 4!/Ob/74 q/f14/81 19!• 70 . gIl1R~~FOR1' ~ NIL b57:17G ~R1UOLr1K'GRY2 Nor b933b No ru511a15u tc oolloction nfforts~ ) ~ q g ~ATRIC;S fiTLalifiX q ALStlRN RAIJCIjLLY, b/08/8t q/49/8l 8tl.69 202 R9bb3 IJ~I.~IUU% 4 ACgRN ~tAIJCW UD N ON TX 7G201 01!N'fDN T% 7b201 Unable t0 lOCate• ) ♦ r VAMh1Y 8/1b/8f 9/29/8f 6q. SD uVl 323A4 LL A11 _ r flAHISY IJIILIA~it1 ~~MT~~R~ N 9a0 ISr1 Jl [IJ 'f% 7b201 Unable Co locate• i 1'X '/LSi01 DCN1'OIJ . 1 ~ 4/29/01 70.45 S ~ I 2111 3fg08 ~~NY~N~~XN9 r LVELYN ~ryNU~fl[IiJX 9 ' i.EWUY ff/03/81 1'% 7bflU1 JP,N'f fJ 1'X %6fJ01 UnablU to locate. , 4/ilq/tlf 88 DO ,I ~ y 201 31994 W LL AN I RONALD W11111{4LhlIAn.tNJ p r ItUIJALD %/41/61 sr ~ ~ l~4 ~ll,,U ORCFIARD 7X 7sOb% 1 EJ1J19V[LQGCf IAIiD YX 790G'1 Uea'J1a to y0Ca t0. ~ l..r ~ L NI VILL 8/~0/S~1 4/R9/9f 1?8,50 203 f9314 ~~~Mp~T WOIJiW UR r OdC1'X %6201 ~~N~OF}~ WtlRTI{ DR r [18Yxli %6201 tbved; loft np address. n r ARTHUfi 6/09/81 9/'x9/6! 47.80 I :201 30126 W aTdNN r ARTIIUH Witt7JpyEINlEk~VARD I 1107 BGfIWARU TX 7/"Ui UG TK 76201 Unable tO IOCBte. D N ON N1'gN ' Y I MIDHQAL 8/20/8! 4/x24/81 b7. 90 U 'r ) 701 48833 AY[i r MICIIGAL 3YH , ~~1;1Y~AOLE N101 T% 76401 L~~T~AOLE IS>l NIOI T% 76701 UAablo t0 leCatu. I i• n 17 ~'1 ~[hJ ~ 4~: ) t01 73843 D~INfO~A E LUTN44 r DEt.t1REe 11p1J N r TIM L1/!b/80 11/f9/60 9/49/61 '~9•`•~ , 1' ~ T~~Nn~A1cE LOYN94 YX 7638! NO I•esponsa to collectiop offcl•ts. ~ • TK 7620! D T .~/11/8! 4/29/81 186,39 I ( :!U4 8706 Y TCpA r MAhY qL J1pA r LiLA6 , 1 ~@:~7tlNLaCUt3T 11! f% 76901 p~~YUN~OCUdY N1 TX 7b40f No response t6 cc1loCLion otforts• NNN tltl c i 1 a°3 , TDTAL 6A0 D601' WRTTL•OfP THIS PgRLgD~ lo0~it3.44 I 5 lf` 1 ' ~'I V 'I! 1 ~I ~ ~ ' rJr ;{•~~;I. • ~I 4 p r I r ~ !1 S f;.. 3 ~y _ k'~i ~ r-0 ~7 .E ~ ' . 1 4/, ~ 14~.. r .r a. .n; ~ , r ~ , t{i ~ , ~:i. i'i~x - ~ ~ rJ ~t jF~ ~ ''A~ r' 's' rrt<.. N ~l '~+r ~ F F L 0 W M E MB0 R I ASHEETH 0 S P I T A L SEPTEMBER 309 1981 , 1981 1980 1981_--- 1980 Current Assets; Current Liabilities: Cash--Operating $ 69,577 $ 24,343 Current Notes Payable $ 140,728 $ 127,230 ; Interest & Sinking 3,517 10,468 Accounts Payable 647,896 620,874 ` Reserve Fund 7,98B 71614 Accrued Payroll 143,205 103,693 Repair Fund 6 386 10,495 Payroll 'faxes 61,791 67,636 Group Health Insurance 1566) 2,774 Fees Payable 1740072 117,752 Investments/Board Designated 2311398 236,499 Bond Interest Payable 10,935 10,236 Bonds Payable 65,000 660000 Total Cash & Investments $ 318,300 $ 2925193 Total Current Liabilities $ 11143,627 $ 1;112,421 Accounts Receivable $ 2 516,920 $ 1,9905324 Other Liabilities: Less, Allowances 1341,689) _251 106 Deferred Income $ $ Net Patient Receivables $ 1,73 Long Term Notes Payable 281,142 301,126 Bonds Payable 430,000 495,000 L 'Other Receivables 85,631 65$08 Inventories 286,979 267,020 Total Liabilities $ 19864,769 $ 11908,547 Prepaid Expenses 66,680 46,265 Total Current Assets $ 2,922,721 $ 2,410,003 CaCfty~of Denton $ 393,166 $ 393,165 County of Denton 1,696,871 1,696,871 Property, Plant & Equipment: Endowment Flow Estate 2400461 240,461 { Land $ 37,547 $ 37,547 Fed, Grants, Hill-Burton 1,868,910 10868,910 { Building &Improvements 31033,781 2,9909868 Federal Grants 256,371 256,371 ` Furniture & Equipment 4 077 890 3 827 459 Pledges & Gifts 376,800 372,235 I. 7,149, 18 T-611865!864 Gen. Fund`Ba1., Beg, of Yr. (944,652) (1,153,821)' Current Year 496,343. 209,169 t Accumulated Depreciation (318339900) 3 473 959 Net Property, Plant & Equip $ 31315,318 3.,.3819905 Total Capital $ 49383,270 3'883=361 1 ~ . a. TOTAL OPERATING FUND 6,238,039 _ X5,791,908 TOTAL OPERATING FUND i 6,238sO39 1 6,791,908_; Current Year Ratio 2.56 y Prior Year Ratio 2.17 E~ 4 4 t, 1.§)v Iii F . ..~~ev+s•r~ w~.>1'wwYM~Y N9.MW^'. . v. m.r gsY YM tk Z N t _ I a' 3 k C~ d11 . TF 1" Pnryo 7 FLOW MSTATISTICALASTATEMENTS P T T A L SEPTEMBER 30, 1981 CURRENT MONTH YEAR - TO -DATE P RIOR Actual Dudget Actual Dudoet Year-to-Date Adult Patient Days 2,693 2700 34,628 32,850 33,924 Average Per Day 8918 90.0 94.9 90.0 92.1+. Newborn Patient Days 382 390 4275 4745 4408 Average Per Day 13.0 11.7 13.0 12,0 Gross Patient Revenue/Pt. Day $368,02 $304,41 $326.91 $300,24 $269.70 3 ' Total Expanse/Patient Day $3111.99 $251.16 $27800 $249,85 $231,78 Month Char1t,L Bed Debt Recovery I October $ 28,023 $ 61,326 $ 1,117 i November 29,827 81,970 6,285 4 December 32,562 560439 5,249 January 79929 799034 13,313 February 31,616 100 778 140073 1 March 75,735 75,609 6,354 April 239724 669847 5,007 E May 21,359 46,938 8,685 r; June 25,368 70;063 7,275 July 18 365 66,747 169151 1 E August 31,780 51,887 4s381 September $ 3 100 423 5 64 9 UT 'Yrs. % of Patient Rev. 3.2% 7.6% 110% p 1. ' 4 ` ~{141 i I 45'1 T: '1 FLOW M E M O R I A L 110S P I T A L Pago ) STATEMENT OF OPERATIONS, SEPTEMBER 30, 1981 % of Salaries Supplies Total Direct Operatin Revenue Revenue & Benefits & Other Expenses Profit Loss 03 Daily Hospital Care $ 178,290 111,629 $ 492b8~ Psychiatric Care 86,682 27,621 13481 28,702 37,960 00/Post Partum 54,340 14,870 11350 160120 380120 ICU 14,675 121076 916 15,992 11583 t+ Nursery 26,504 8,754 1,776 105530 15,974 Neo-Natal Nursery 25,600 11,110 282 11,392 14,208 t Coronary Care Unit 429387 27,408 4,229 310634 10,753 r. Labor l Deliver 19t766 50850 259616 129126 Operating & Recovery 34,129 189116 80801 269917 11,433 Emergency Room 34,129 14,965 20,238 35,203 (1,074) Central Supply 64,711 8 623 240656 33,279 310432 K Laboratory/Blood Bank 94,447 - 45;029 46,029 490418 Radiology/Nuclear Medicine 65,603 14,728 179965 32,693 321910 Pharmacy/IV 130,442 9 363 23,430 32,793 97,649 Anesthesia 35,266 12,693 61051 18,744 16,622 Cardiopulmonary 20,303 8 499 8,386 130885 6,418 Respiratory Therapy 51,63 11,351 31391 14,742 369911 Physical Therapy 7 610 3 899 654 4,453 3 157 Total $ tif4`_` 3 , 6T- T M -IM 101711-. i 903 k Deductions of Revenue $ (58,772) $ $ $ w 1589772 Charity & Bad Debt (105,335) (1050335 Employee Health Ins. Exp, 29,392 29,392 (29,392 Medical Records 356 93956 I,766 11,721 (11066 f Gift Shop 1,524 10619 29092 3,711 {2,10 Cafeteria 10,239 259214 24,093 49,307 9,068 ' Plant 149640 67,623 82,163 82,163 l' Housekeeping/Security Guard 25,043 3, 48- 28,391 28001 fi Laundry 7,211 3,14 110025 11,026 Fiscal 'Affairs/Data Proc. 8,286 5,366 13,652 13,62 .'xBusiness Office/Cr. & Coll. 21,066 7,315 28,381 1289381 purchasing 11474 1,631 3,105 ,106 Personnel 3,327 1,665 4,992 ,992; { r Administration 5,iM 29766 81610 13,610 Staff Education/Quality Assur, 1,756 770 2,526 2,626 General & Administrative (3,118) - 26,624 26,624 299742 I ,A Depreciation (TSB, - 33t944 3944 33t944 Gain (Loss) from Operation `a Non-Operating•Revenue 26,876 26,876 Foundation 1L813 11813 Total $,i~i r 47.404 ^390,351 848,255 $ 130942 is L S~dY S FLOW MEMORIAL HOSPITAL STATEMENT OF OPERATIONS/YEAR-TO-DATE, SEPTEMBER 30, 1981 Page 4 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Profit oss) Daily Hospital Care 19 x'2,1 37 TT;T66"32 81026 11208,718 966,88 ~9 " Psychiatric Care 6 7041046 283,113 10,667 293,780 410,266 OB/Post Partum 5 559,899 1580980 14,344 173,324 3869675 ICU 2 244,675 194,283 12,296 206,879 3$,096 Nursery 3 3061625 1231460 20469 143,729 162,896 Neonatal Nursery 1 163,025 1299407 39620 132,927 30,098 Coronary Care Unit 4 442,044 3160437 369490 362,927 89,117 Labor & Delivery 3 326,711 208,620 54,344 2621864 631847 Operating,& Recovery 5 498,751 187,244 128,597 316;841 182,910 Emergency Room 3 37'2,825 154,291 256,097 4041388 (31,663) Central Supply 7 7561020 97,632 268,631 366,263 389,757 Laboratory/Blood Bank 10 1,088,498 506,451 505,451 583,047 Radiology/Nuclear Medicine 7 823,269 186,434 223,811 410,246 413,024 Pharmacy/1V 14 1,5111956 117,986 3833646 601,632 110109324 Anesthesia 3 375,767 135,144 97,619 232,763 1421994 Cardiopulmonary 2 237,728 66,140 101,401 166,541 711187 Respiratory Therapy 5 591$56 1283233 63,001 192,034 399,322 Physical Therapy 1 115 477 61 855 5 408 67 263 48,214 MY 97+ 19 $~b7i,21228,416 5 30 ' Deductions of Revenue $ (556,160 $ $ $ - $ (666,160 ' Charity & Bad Debt (1,110,870; (1 130,870 4 Employee Health Ins, Exp.- '59,377 269,377259,377 Medical Records 30118 114,980 20,366 135046 132,22$ ' Gift Shop 181300 189936 17,139 36075 (17,776 Cafeteria 123,818 293,364 291,720 585,084 461,266 Plant 182,991 670,716 763,706 753,706 Housekeeping/Security Guard 284 356 54,542 338,898 338,898 E Laundry 86,662 29,0$8 116,570 115,570 Fiscal Affairs/Data Proc. 94.005 669236 160,241 1609241 N O tress Ofc,/Credit & Collec, 2601754 133,416 384,170 3841170 Purchasing 18,055 12,829 309984 30,884 Personnel 37,880 27,404 65,284 65,284 ` Administration 72,394 22,376 94,769 94,769 ,x € St4ff Education/Quality Assur, 203968 5,240 26,208 26,208 General & Administrative 129473 323,247 323,247, 310,774 380 19 i Depreciation - - 380 192 380,192 1 321) f 75 4_. 1 3886 3 1`. 6 19P 562 Gain (loss) from Operation 08 } i Non-operating Revenue $ 2869185 286,85 Foundation 51,780 61.780 Total 10 122 843 5 184L196 X442,3049~b26,600 496 34 r i r . ~ I^~'w°-n'°. ...~...-..«.ww..raMMA1NNI~YN wnw~--sw.w.wrw...._o,.__..e...............__~... . _I 't Alff ~F l 1 ~lFI F. y 6 a" 71 Page 5 PLOW MEMORIAL HOSPITAL SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS SEPTEI4BEII 30, 1981 Current Month y Year-to-Date r $ Beginning Balance $ 85,455 229839 Cash Received from: 310 $ 9,169,298 Active Patient Accounts 760, $ 5,888 98,681 Bad Debt Accounts M 1 88 129,553 Cafeteria 8,627 277o587 Appropriations/Donations 14,448,152 Other 13 L475 799,405 373,033 1 ,471 Total Cash Available V Cash Disbursements, 388,261 $ 4,333,1ia" Payroll 539345 615,783 4 Payroll Taxes 5,582 265,052 Patient Refunds 269,960 ' Capital Assets 10,327 140,770 Notes Payable 14,480 Other 344,792__ 4,3881242 10.002.918 f 'total Disbursements 81 68j073 Cash Balance 231 98 231 98 Cash Investments 299,471 f Total Cash r#.. $ 988,256 $ lY 303,023 t, Gross Patient Revenue 76 673 6 4 Less! Allowances Net Patient Revenue 1' 8 1589 Cash Received on Patient Accounts $ 76M I2 $ 9 169,29Q ' Less. Patient Refunds 6 58 ~ Net Cash on Patient Accounts 83,7 8218 % 1 ` Cash Received as a of Revenue III 1 It s 4 ,pAt~ . 1 l~ 9 F( 1 j~ J 1 J: t l 1 L 41 MCM0RIA1. HOSPITAL 0 AGED ACCOUNTS RECEIVABLE SUMMARY SEPTEMBER 30, 1981 , i 91-120 121-15C_ 150i Total of A R primar, or Current 31-60 61-90 # Medicare $ 399,021 $ 195,566 $ 87,061 $ 59,121 $ 690799 $ 187,848 $ 998,406 18% Medicaid 29,790 17,430 21848 41786 614 18,910 74,578 3% Blue Cross 129,479 551740 81390 21111 17,013 25024 214,757 9% commercial 7.ns. 341,735 121,671 36,550 17,977 39,699 18,246 575,778 26% 245,159 151,263 114,436 850658 39,263 1.14,795 750,574 33% Self-Pay Bal, aftar ins, 114 036 38 723 30,344 22i72 17 226 52 538 276 591 12% LW_ 99`6_ , 37 1 $ 4 6 4 L Advance Medicare 585 62t4 100 Net Billed A/R 7 In-House $ ,5 L127 ! Total A/R E A/R by % 43.6% 20.1% 9.7% 6.7% 6.4% 13.5% f i Number of Accounts; ! bays rof Revenue: ! Accounts Receivable 74.5 In-house 8.2 Total S1~.7 i t . 1; r~ fir: sY; F {y 4 i Mr ; ; 4 z,- BOI D1YOF DIRECTORS r= r-- Pega `"BUSINES$ MINUTES oa~a =--=August 20, 198 L_ - - L1 the Board of Directors of Flow Memorial Hospital met in regular Chairman, at 1 7:00 p.m. on Thursday, August 20, 1981 with Mr, A. E. Wyatt, presiding. Other Board members present were Mr. Ralph Havenhill, Mr. George WHIIza,FMr. BradsMoore, and Mr. Gray Shelton. Also present were Mr. Tony Franzen, Mrs, Gloria Madeldell, Dr. Arvin Short, and Mr. Leonard 40t on viawed, and approved. The minutes of the previous meetin vv Old Business: None SAN 7 B 1~n1 New Business: C Y ~ actvroN r' nanc a Re ort--Mrs. Fritz reviewedA &hdlfl66nancial Report and the financ a statements. ShE announced that t e hospital had experienced its highest revenue-producing month in the history of the hospital with revenues of $1,107,337. The average daily census for the month was 97. Charity charge-offs for the month totaled $18,365, and bad debt charge-offs for the month totaled $66,747. There was a discussion concerning the percentage of collections to revenue, Mr. Franzen was asked about the success of utilizing TWA for collection of overdue accounts, and he respponded that the TWA had not been any more successful that the in-house collectors within his department. It was noted that the departments which had previously been under contract, were showing an acceptable profit--i.e., Cardiopulmonary, Physical Therapy. Mr. Franzen suggested that the Board of Directors consider establishing a policy to make interest charges on over-due accounts. He was asked to bring back to the Board some information from Mr. Terry Lewis about this matter. Mr. Shelton moved 3}. j that the Financial Report be approved, this motion was seconded and passed by voice vote. } 1'\. rt--The minutes of the Safety Committee Meeting held on August 5 were 1 reviews r. atson reviewed the statistical study which had been done to compare the incidence of errors to the total number of medications dispensed. The Safety Committee had agreed study not thistmotionbwas was so minute. Mr. Mr. . Moore i seconded and passed by voice vote. d Utilization Review Report.--The statistics for the month of June were presente Mr S e ton moved that the Utilization Review Report be accepted; this and rev awed. i motion was seconded and passed by voice vote. Medical Staff Re ort--Dr, Short reviewed the minutes of the Executive Committee ll and informs t e oar tat a letter had been received from a member of the Active Medical Staff resigning his surgical privileges. The Chairmen of the Department of 08/GYN and Psychiatry had requested additional nursing staff for their units. The t applications from Arthur F. Terry, M.D. for appointment to the Active Medical Staff wt privileges in orthopedics and Rick Suckelew for appointment to the Allied Health t Professional Staff as a Physician's Technician I under the supervision of Dr. W. E. s i Sanders ,sere presented and reviewed. Mr. Havenhill moved that the Medical Staff Report be accepted, including the appointment of Dr. Terry and Mr. Buckelew, and the acceptance of the resignation of surgical privileges, This motion was seconded.and passed by voice vote, Admission Statistics--Mr, Watson reviewed a statistical computation of admissions t to tha_Ki0S¢itial_Tor calendar year 1980 which showed the number or admissions per physician, the patients' lengths of stay, amount of revenue, etc. This report was , i reviewed by the Board members, porin quipmQnt--M, Watson reported that the new monitoring equipment, which had been approved for purchase by the Board in July, had been ordered. r a..11y.:~,~1i=- ..W'W'.~.~y ~~iwSS~~a1.~(•.4/~ifr'l~~iu - SCi~NF+11 a r.+ awn x, nr.nY - .r.YVNYWY{i~ .hM.W+»•'Mw.N.a.a.u•w. .uw i . • awl BOARD OF DIRECTORS 1 . 2_._ `BUSINESS MINUTES oar. August.20,.19$1 P'94 j Home Health Service--The Administrator reported that the Nome Health Service should a operat onal at Flow Memorial Hospital around the middle of September. Tax-Sheltered Annuity Pro ram--The Administrator reported that the proposal to ~A offer a tax-she tere annun ty pprogram to employees had been favorably received by the department directors. Mr. Navenhill moved that the Board of Directors authorize the proposed program be offered on an optional basis to the employees. E~mp_lgyee Health . Insurance Plan--The Administrator presented a 'proposal from Blue Cross to administer a se - insurance health insurance to the employees of Flow Memoria Hospital. Based upon the proposal from Blue Cross, the hospital could save approximat ly, $18,000 per year by changing from Northwestern National Life to Blue Cross, Also, a dental insurance package could be added to the program with still a savings to the hospital over the present coverage. The proposal from Blue Cross was discussed furthe including the disability insurance for department directors. Mr. Havenhill moved that +;he Board of Directors approve the proposal from B1ua Cross for health insurance, life insurance, dental insurance, and disability insurance (for department directors tnly); this motion was seconded and passed by voice vote. Follow- on Me tins with City Council--The minutes of the meeting held with the, ,City Council an Augus were presented, reviewed, and approved, A discussion ensli9d. -Mr. Shelton moved that the hospital not bill the County for the charity care since the County is already sent each month a listing of the charity care which has been provided. This motion was seconded and passr.d by voice vote. ona-Ra ae _U--A proposal from Mellon-Stewart Company to perform a feasibility study for tho development of a new medical office building and parking garage was pre- ( sented and reviewed. The Board members reed, however, that before such a study; should be underta!on, along-range feasibility study should be done to encompass all aspects of future growth, The Administrator suggested that a long-range plan could be more objective if done by an outside firm and suggested that Mr. Dave Hitt from Hamilton and Associates be asked to come to speak to the Board concerning what such a study would involve and what the cost of such a study would be. The Board agreed and asked Mr. Watson to contact Mr. Hitt-and Invite him to speak to the next Board meeting. The meeting was adjourned at 9:20 p,m. 7 LJ A. E. Wyatt Chairman of the Board Acting Secretary gm r i gIII1t/1. Y.1.1. IIIY l61! r IMHII I. a'tl[[0II C/.. 111011.. MOM I r :5 FL O W M Eh10 R[ A L H OS P I T A L BALANCE SHEET AUGUST 31, 1981 Current Assets; 1981 1980 Current Liabilities; 1981 1980 Cash--Operating $ 86,997 $ 51,936 Current Notes Payable $ 129,646 $ 116,697 Interest & Sinking 8407 71064 Accounts Payable 5y0,612 540,416 Reserve fund 45,461 22,524 Accrued Payroll 114,120 77,932 Repair Fund 14,808 9,979 Payroll Taxes 90,899 87,394; Group ffoalth Insurance '1,070 686 Fees Payable 131,682. 77,089 lnvostmeirts/Buard Designated 171,398_ 212 999 Bond Interest Payable 7,58?. 6,822 y Bonds Payable _ Total Cash & Investments $ 328,841 $ 305,188 Total Current Liabilities $ 1,044,340 $ 903,410 Accounts Receivable, $ 2 495,944 $ 1 948,825 Other Liabilities; Less: Allowances .361,028 228 686L Deferred Income $ 26,451 $ 21,082 Net Patient Receivables I $ 1 W 9 Long Term Notes payable 308,431 359,906 Other Receivables Bonds Payable 495,000 $ 96,282 $ 525394 560,000 Inventories 289,038 273,291 Total Liabilities $ 1,873,222 $12844,398 Prepaid Expenses _ 5q,E79 _ 45,480 Capital; Total Current Assets $ 29903,356 $ 2,396,492 City of Denton $ 3930165 393,165; County of Denton 11696,971 1,696,871; Property, Plant & Equipment Endowment Flow Estate 240,461 240,461 Land $ 37,547 $ 37,547 Fed, Grants, Hill-Burton 1,8689910 118680910; Building & Improvements 3,033,782 21990,058 Federal Grants 256,371 266;371 Furniture & Equipment 4,066t193 31803,856 Pledges and Gifts 3730300 369,735, $"6;Gen, Fund Sal,, Beg, of yr, (944,652) (1,153,821) Accumulated Depreciation {3 799 829(3140.1L 5 Current Year, 482,401 310,748 ' ' Net Property, Plant & Equip, 3,336,693 3 430,346 Total Capital 4a 366,827 3 982 440 k TOTAL OPERATING FUND $ 6,240,049 5-L826,838 TOTAL OPERATING FUND 6 240,149 5826 838 r. G i Current Ratio 2,78 L F } s k, y r It 4 ..X i :E , Page 2 F L O W M I: M O R I A L H O S P I T A L STATISTICAL STATCMENT AUGUST 31, 1981 C lJ It R E N T M O N T H YEAR- TO- DATE P R I O R ACtua1 Budget Actual Budget Year--to:Nut q~ Adult Patlunt Days 311()9 20790 31,936 30,150 31,325 Average Per Day 100.2 90.0 9513 9010 93,2 Newborn Patient Days 413 390 3,893 41355 41026 r Average Per Day 13.3 13.0 11,6 13.0 11,0 Gross Patient Revenue/Pt, Day $340,08 $294,59 $323.44 $299.87 $266,84 i Total Expense/Patient Uay $279,88 $247,04 $274988 $249.73 $227,88 1 Month Charity Pad Debt Recovery October $ 28,023 $ 61026 $ 7,117 a Novembor 29,827 81,970 6,285 December 32,562 66,839 6,249 January 7,929 79,034 13,313 6ebru6ry 31,6116 1009778 14,073 March 76,736 75,609 6,354 April 23,724 669847 5,007 May 21,359 45,938 8,685 June 25,368 70,063, 7,275 July 18,365 660747 15,151 s August 31,780 51,887 4,381 $326,288 $ 766,638 $ 92,890 1~ t e is 4 J J y t , 5 ' k, I: LOIN hiEM0 AL H 0 S P I T A L Page 3 STATEMENT OF OPcRATIONS, AUGUST 31, 1981 % of Salaries Supplies Total Direct Operating Revenue. Revenue & Benefits & Other Expenses Profit Loss f Daily Hospital Care 19 $ 197,546 $ 108,106 $ 4,030 $ 1121135 $ 86,410 Psychiatric Caro 7 77,684 24,743 536 25,279 52,406 OB/Post Partow 6 61,426 16,829 10396 18,225 43,201, ICU 3 28,900 18,090 1,179 19,269 91631 Nursery 3 34,606 11,274 21381 13,655 20,963 Noo-Natal Nursery 1 14,100 12,122 409 12,631 1,569 Coronary Care Unit 4 38,298 27,060 31803 30,863 7,435' Lubov & Delivery 3 35,212 19,847 5095 24,942 10,270 Operating & Recovery 5 49,480 17,872 17,200 35,160 14,320 Emergency Room 3 34,448 15,020 21,833 36,853 (2,405) Central Supply 7 750656 91152 14,602 23,754 511902 Laboratory /Blood Bank 9 93,578 - 44,003 44,003 49,575 Radiology/Nuclear Medicine 6 61,320 161449 18,462 33,911 27;409 Pharmacy/IV 13 138,124 11,429 35,373 46,802 91,322 Anesthesia 4 41,229 12,060 15,160 28,020 13,209 Cardiopulmonary, 1 15,577 61516 6,686 12,102 3,475 Respiratory Therapy 5 48,392 9,985 31251 13,236 35,156 J Physical Therapy 1 4s 603 3 97~ ,17$ 0t286 . . Total 1,Oy-i` 1F3~"'•`~~"`~3`J~;3 2 ,563 ~ 5344 t,89 896 !-'$-51'9-,"286 f/ Deductions of Revenue $ (41,777 $ (41,)77 Charity & Bed Debt (108,231 (108,231 ti Employee Health Ins, Exp. $ - $ 21,473 $ 21,473 (21;473 ; ` Medical Records 308 10,314 19529 11,843 (11,536 Gift Shop/Grounds Mte, 1,879 2,194 29168 41352 (2,473 Cafeteria 10,715 26,672 279926 54,598 (43,883 Plant 160335 50,409 660744 (66,744 Housekooping/Security Guard 27,146 31998 31,144 (31;144 Laundry: 6,653 2,207 8 760 (81760 ;r• Fiscal Affairs/Data Proc, 81628 31870 12,498 (12j498 Business Office/Or, & Coll. 211231 24,441 45,642 45,642 . Pur6hasin9 19541 l t284 20825 21896 ' Personnel 3,400 21806 51906 51906 Administration 1,38814 1j749 81129 8,129 Staff Education 21571 21571 General & Administrative 772 249793 24;793 14%021 Depreciation 33 951 33,961.. 3_3,951 I - (1 6030- 132,208 203,021. $ 3351229 $ k471,563) I • Gain (Loss) from Operation '47,723 Non-Operating Revenue $ 24,822 24,822 Ftiundetion 41 9 4,363 t 9-0 Total _ 471,540 i._ 6 FLOW MEM0R-IAL 110SPITAL Page4 STA'I'"mW OF OPERATIONS, YEAR-TO-DATE, AUGUST 1981 1r of Salaries Supplies Total Direct Opehating Revonu~ Revcuuo & i3en if l is & Other Ex r 15es Prof I L; {3 oss)„ [),lily hosMjilcll Care 19 $1s097,247 $ 1,04 ,UG3- $ l13r~67~_ $1, x,830 w$ 904, 1/ Psychiatric Care fi 637,3134 225,492 9,587 265,079 372,305 00/110st Partuur 5 505,559 144,110 12,994 167,104 348,455 ICU 2 230,1u0 182,208 11,380 193,588 36,512 Nurser 3 200,121 114,706 18,492 133,198 146,923 Nao-Natal Nursery 1 137,425 118,297 3,238 121,535 15,890 Curonary Caro Unit 4 399,657 289,032 32,261 321,293 780364 Labor ~ Dollvory 3 288 968 188,754 48,494 237,248 51020 Oporai ibg & Racovcry 5 460,401 169,128 119,796 284,924 171;477 139,326 229,859 369,185 (30,489) lmergeantral iey Room 3 691338,,696309 89,008 243 974 332,982 358,327 aborhogYBlood Bank 10 994,u51 - 460,422 460,422 533,629 dio16y/Nuclear Medicine 7 7137,667 171,707 205,846 3770553 380,114 armgcq/IV 14 11381,513 108,623 3609217 468,840 912,673 nesthisia 3 340,491 122,450 91,568 214,019 1261472 ard16bU1rnonary 2 217,426 59,641 93,016 152,656 64,770 os iratory Therapy 5 539,703 116,883 60,410 1779293 362,410 physical Therapy 1 107867 57,955 41854 62,809 45,08 ,'2&;584;1379;07 total 1~6.'W~;36r,~85 $ 3;376;13 , 9175 s. Deductions of Revenue $ (497,389 $ (497,369 Charity & Bad Debt (1,005,535 - 0 005,535 29,949 Employepe 1lealth Ins, Exp. $ 229,949 $ 229,949 R2018$3 odic 1 Records 2,762 $ 105,024 18,501 1239626 15 588 lift Hop/Grounds Mte, 16,776 17,317 16,047 3> Cafeteria 113,579 268,150 267,627 535,777 422,198 plant 168,351 603,192 671,543 671,543 Housekeeping/Security Guard 269,314 61,193 3100607 310,507 79,451 26,274 1049725 104,125 Laand~y Fiscal Affairs/Data Proc. 85,720 60,870 146,690 146,594 Businos.s Office/Cr. & Coll. 229,688 126,101 3559789 365,789 ' purchasing 16$81 11;198 27,779 27,779 ` Person#lel 34,552 25;739 60,291 60,291 Administration 66,560 19,609 86,159 86,159 Staff'Education, 19,211 4,471 23,682 23,682 General & Administrative 15,591 - 296,669 296,669 1811068 Qopreciation 36,2 7 3 6 2 7 ff-.3 4',-16F 1,34-;--,3 O , bf;17 31T4 705r902) t ( Gain (Loss) from'Operation 173,125 { I~ Hon-Operating Revenue $ 259,309 269,309 i Foundation 49,967 49,967 2"' rr AD Total r- XjS 'ITrw "78 244 $ x f l y, I { k t page 5 SUIMARY OFMCASH RECEIPTS1AND11DISBURSEMENTSL AUGUST 31, 1981 Year"To-Date 22,839 , 8og1nning 8nlanco $ 129,794 $ ; Cash Received from: $8,A08,988 Active Patient Accounts $1+0G3'304 92,793 Dad Debt Atcounts Cafeteria 11,229 110,848 Appropriations/Donations 75,413 268,960 g 248 747 Other 4 019 1 150 612 y 359.158 _ { Total Cash Avail able + Cash Disbursements: $ 5080885 $3,944,850 Payroll Payroll Taxes 79,054 5629438 ` Patient Refunds 30,124 249,470 2,216 259,633 Capital Assets 12,684 1269290 Notes payable 661, 988 41043,A 00 Other $1 194 951 9 18 '131 Total 01sbursements Cash balance $~7'1'~ 111,} Cash Investments $ Total Cash , Gross Patient Revenue $1,0669417 $io 5 1 7 314 766 6 Less: Allowances 39 762) Not Patient Revenue $r.61 ' ' ' + CashReceived on Patient Accounts $1,0630608 $ 8 408,988 Patient Refunds (30.124) 9 470 Less; i,. Not Cash on Patient Accounts + 6618 ~ 83,8 a, Cash Recoived as a % of Revenue 101.7% s f t r ; FLOW MEMORIAL HOSPITAL PacUe 6 AGED ACCOUIJ'fS RECEIVABLE SUMMARY AUGUST 31, 1981 Prinlar Payer --...._~._,L._,_ Curr•eut 31-6U_ 61-90 91-120 121150 Medicare i50+ Total %of A R $ 347,102 $ 177,245 $ 92,704 $107,264 $ 159,881 $ 29,864 $914,060 14% Medicaid 87,483 80654 5496 Blue Cross 3,297 2,077 21,440 128;446 6% 80,909 35,320 24,884 151298 Conynbrcial Ins, 493 793 157,697 7% 333,312 985783 39,678 33,770 Self-Pay r 70202 13,861 526,686 25 351,222 134,301 140,068 42,980 61,380 71,594 801,545 38% Dal. after fns, 71 229 47 306 30 501 12 324 In-house $ ,171'x^ $_~54`l~b, 0 33fi` 2~i- 22 041 36 528 22 929 10% Tor Advatlce Medicare 378,967 ~ i 26 03 t Total A/R f< f i . A/R by % 46.3% 18,2% 1211% tl 7,8% 912% 6.4% Number of Accounts: 71474 Days of Revenue, r Accounts Receivable 69,0 ht tri,-fJouse 12.3 ` Totd1 . f 1 1 1 Ifs 11 Y.Y 1 ry WWI r hnrC ~/112101 i1: 1 1 F' t. U W rl r ri Q R i n I. N t) D N 1 T A L . PAOC 1 R,1R Dr:111 Tr+nIJ'Jf C'R R(O)URT FUR r'fiim) 8/0l/01.'HRU f (+ATIt1JT 14l.11111 ~J 1 l 11~ F( R' 41 wfnw*wwl T fJAMC VA {niylu, / I/O tt! f Irk IJJR~)r/. 10111, IADDHI NAM} A) CII.YU(1~, I'll~R NAME' xewitNatitw .r fUf 8 •11 _ DA~f TT(( nn n4~wuwxk4 II 1 Al I+~ AgAN AI) Ml ItID Dltf AfiOMD Wrl VO I nFN A ~W1 Uf hLC%ArJDL'R , . ` it unt 11) AI C,YANU C• 1 d01 % IJ VCAhI0R6 XG DENI'DN 01~ IJ f1VCAME11iL' IIG TIC 71,^'O DAVID C 1 No 13. 5u ~O1 277U1 ALR%ANDCR , T rRN X 761 01 )frN DN response tp C 110Ct10n I L Offorts, 1IT 1 UJ{EJIIJDUD 1'11117 416 Ai-EXANUEfi Tk 76201 rRNIE ~/2b/01 + Y DENTUN RT 4 5HERWOOD ill' lil 0/27/91 18.00 :01 DIt1,17014 Tx %6201 Qniance after In Uranc01 no response. .^6301 SOO V NN MA JOYCL J00 G [N n1.1.18014 P1f.OT POINT TX 7625fs g?R E 11A 114 VEOTER 3/06/Ell 8/27/81 741. 10 i 101 LOT POINT TX 76c^ '30 Arrang(vents no t1k0pt . . " n443w ANDtiRg rlF I L . IAN E-J? MANOR 104 CO N[ l 1.2(04/80 sit/06/80 O/27/DJ 149. 10 ANOC•:ft 7% 7b.!46 6 Od 1;0UTk MANOR i 101 2604 A 1llR0O JUBGPII BANOVI Tx 76201 1lalanco afterf11Sl1ranCei no responso, rr b9 VIN LLAOF. a 201 17 AN149ERVEIIUN LI AOC E 203, JOHN 2/71/01 }52!24 /et $197/61 t)~fJTUN rk '76101 UENTUN 196.60 202 29127 Arll)1ASS 9 Tk 7b301 ArraAgMi@ntS nol'koptt then n10VOd, left no address, 11['LUl)Y Aftpp15 I 1 t,LIdTUIi UAII 1614 W. OAI< MELODY d/301$1 n.' B/1271Ol 69. u 1 101 $7039 ABktNF Tx 76401 Moved; loft no 8~droSS, (tT U(Ix 2312 CIIIiRYI ABK JJR 1 4DDIE' -x/03/01 yt, Au nURtkY Tx 7627% d XDx 233 AUDRfiY 8/27/81 607, 40 RO1 X6209 A 7 'l i. 7X 7622'1 No reSpOnSB to collection efforts, E , CHARl.00 1 13 IJ CAnriQLt. AUXT LL ClIMU9 1/3l/SI DP.MuN Tx 76201 DCN~UN CARRULL l tl/~y/0S 74. 00 rX 76POI No re 101 26453 ARD KFvtIJ ;posse toollectfon offorts, IIUx B9 (WIN LAKiti63 11140 ~AfID RANDY 4j0tl/D1 a. D NTON TX 76.01 6 OOXB4 TWIN LAkrB 1 ktl0/B1 812718E t2 .2ry,60 U NTOfJ x 76201 0alanc0 after 1tSdrano0 no response, 10.ti, 1o0g2EppIgq ARD LO13 t i dL'N1~ONPLNCEn RO BGAR901 D tiPENCER ROAD "111140F 1/29/91 1,1/31101 8/91/81 T% 76J701 U 76x01110 response 1D4. 9L 11C;, 46012 p3 C~AVGRCi ENTON TX to 0 '{{1 p lectlon efforts, i'. IETUN NOFt£HF.R SHANNON p(:AVC RAIJOY L ?r: Rpp 1'/Q5101 ! r31 k INCf--' f BNER I 8/27/81 Tx 76,!0 1 UN (A 00 tot 17037 rx 76201; N4 response , Q CKIaI;R. , JRnRY Ii tqi olloctlon efforts, j 100111.AND PA(IK RD. QYNCn 4/l0/so n Q N f + op ,,l!. fiflRY E ?1,4/21/00 0/27/81 (085.05 I, IiIOHJ.ANJ) PARk'nD Tx 76.'01 D$IJTIIIJ . 101. 15093.' ti. response toy$I }I Tz 76.^ol No leaden Ufforts, JdOF.I+}1 fictl R . ! c ~ { I IIOnNbKERD% B~ P O Duxes JODIiPN 19/126/00 k't/01/Gl 0/27/91 n TX 7626' fIgAIJOKE (14.40 b Tx `7626.^ BaIJA'ce after ih;lurancel no responso. , t(; ,l 1 5 1 , ' is r I _ r , 1 IF. 9/1: 01 II 1I rr L, 17 al (1 i' is 0 k f A L I1 0 U P r T A L PAGE .r~.. 2 DAD U(-11t WAN61-t:, kEPCIlf VtIR P10?J 1) U/01/D1 •TH11UI~~. E CC Ph1XE1J113~1MUCRR WAI pADgllf/+MYr G1i11f !IV Nhh(; AUIM CITY,OW, 71 H Nh11C knkkppka ADM ITT60 1DISCIAROVD WptttTCOFF oPDAACCpINI I ' a02 .,!94,4 DILL R111110A 80, ROIIALD 1/1d/q1u P;. £1/II7/B1 15 46 D X '23 1ux ;"Q3 Bal nco after lpurancel no res onse, AUNR's•Y Ix YGL'lY A00HEY TX 7422% @ P 7 20[7 13;162 0[#4KE148111 LOUIE rILANIlCN3HlP EOD1G `Q/04ig1 £1/27/81 44.29 20 1'ALAI-EM0 109 rALINi.)U)0 US?1J'r01J rX J:,7U1 V1:NTON TX 76201 No responso to collection efforts. 101 nl$14 pL~ 41L"N LII:"IA lIUIJGN , LINDA 11/29/00 L/27/00 010/01 /59, 4tv /Qb MAI)FR 706 fi WEAVFR 1. 6AlIJCBV[LLE rx 76 ,10 (:h[NrtiVILLC TX 74240 No response to,,¢Dlloction efforts, t , r r . ' 201 ' /G:}7 OnflOEWA7Lr1 Ji1:3JoH DUID,CNATFR JDliCPI} }/19/81 0/27181 95, 970 ' f J11111N(ION I r2.1 Jt)IUtHN +xff IQ14WN 1X IG','01 DlN)ON TX 76201 NO reSI)Dnse t0 Collection efforts, 201 29497 RpIJAN13 R1)114RT Gwrl"NY SARAII 1/07/81 0/27/01 39 101 D0x 'Ii MUII))UN 1HP , CL0L)D Fit OF 1' N11 77%77 LAVE, OA~.LA3 TX 79065 No response t¢ oolloct1011 efforts. r~ L1LiNA pUU1n~AI TC CATALINA 9/03/81 11 ,t 0/27/111 1 l%n1nNTIT Ch JJ 1, 50 Rot x.0995 nu11MIT14 DT oil) 15 N I1H 8T It 16 1#r.. ISL*NTnN IX %Pni 0CrIrMN TX 76201 Norresponse tq'eolloction of(orts.' f• 201 2%684 CASfP DCNDSE CAPIP 111GIIAt1L q/Y1/Bl+#,~;. 8/i2%/E11 4U. 50 tlgX ,49/OREGNW100D UCIIUUL FI DOX 49 o q ORE6NIJnoI1) TX 9+7979 011W4WU0D TX 99999 No response to collection efforts, tUt x4231 CANTRRl~6 Or:EHD LAURA CAN1'RBLL BTHPHSN 0106/Bl .'a+W9/B1 B/27/B1 604.09 If r! t 91J'C ,ff1 1 CUNCRGBB I " I 11 N rX 76201 pENTON TX 76201 ArrallgenjontS 140 kept, ; ?Of 18n89 QAf1R Rqq CASi9IG CARRLRA JN JUAN '1l/49/BO 11a!B/27/81 32, 90 r 10 OUTH L00087 1y 1^ JOAN ON e I UQFITIN rX 76201 f~i~NFON TX 76201 MoVedi left no ,address, I ! 202 20736 CA88NLL TOWNBLrND CAWML. Tnk'NDEND 2/."8/61 8107/01 33.70 90(1 RUODELL N 90 i 6 AU~DELL cy ? DE TON TX 76:01 DIUMIIJ T& 76201 Balance afterlj Suraneei'unable to'locate, 202 17952 CLFARNAN MIKE CLGARMAN MIKE y 8/27/61 106.30 ff t OrNIONR1oLE DT rX 76•,01 1W.N UWft1oLE 13T TX 76201 No response tQ' e411ectlon efforts, ) 202 144%6 CUTER DONALD COM?k FRANCE P/0B/BI 0/27/41 10229 r DUX 261 11U;( a%1 h{ fi KRU14 rx %6249 ARUM TX 76249 No'roSponse t o118ctlon efforts, . 101 80631 18L~IOND ORVNOA ;N1 I N8 DUUOLAB 4102/00 Q r+a/09/BO 0/97/B1 $70. OH 11: PO IIX 373 I'(J Itdx 373 I ; KRUM rx 76?49 1'dlum -rX 76244' No:posponse to ollectlon efforts, 1"Jf x r ' r j , a t ` I I , YYY • d i , I' L 47 N % (i FI 11 II 1 it l II 11 !.I I' I ! A 1• PAIJt, 3 11411? '7! 16/CII 11 IIAU UI, II IIIAty I:14 IJI.pONI 1:QII 1+61101) 0101/01 11 (Ilk) (1 31/01 II. IIAI.AN" nrwwrrl7r "U 'LIP M4 AlIM111'L•U P188IA6LD IfL;UII? (11„ ACCI~UNI VAIIC IT IlUhlllti(i aJnupwwrn I'AY III 1~AMC. wMr,' +uew +lau,ru i;ilAl(ANl(IIJ NAh(L I J'T'% N1 101:0 NAM U. ADDII, C I1 1 111' nnhlf AIluR 1111' i,T, 111' „ 102 2169'C(IAV -N JUlll(i t',lIAVIN NIV It 3/43/01 :1/04/(11 (Ili!''/!01 V2,1 4b bt1A CAlll)TNA`. F0 LOA l:Af7Ul1JAI, rU I 4 INT N TX Ibw01 U041LIN 1% 76101 Arrellgenlents not kept, KIM 2/2'6/01 0/.".'7/81 69.60 201 261497 (sppy Y KIM Clt7SUu NRIIAItU 11:17 l DEy I:RNAnq 137 707 E T% 76201 PEN ION 1'% 76201 110 response to collection efforts, UENTON 203 1-1043 CR8116 TANYA CROSS SANDRA 21013/81 f;/v/81 90.00 LOO N DRAD911AW TX 76201 NO responso to collection efforts. I bb IN nRAU5HAW pENi/N 7% 76201 n[NI{IN I8. 00 , HAROLD 1/27/81 0127/01 201 26090 CU :p JOHN 1701 311AlJNEE 1'01 SHAWNEE UN ON T% 76201 DENFON T% 76201 nalanCo aftor 1nswa6Ce; no responso. DB'URRYNTON CIAVRYl 1/11/0! 0/v%/8t 51.00 I,I 201 3010. ~EN7URRYON BRIAN 76201 CURRY 217 AVE A $:217 AVE A 1•x 760,101 NO YCS p005e. ILO Ce11 oCtI0n 01f01't5, I 0 1 6/27/01 90.25 Ill IIARq 6Vi? UALRYhfI?l F 7/05/8 202 2930 DAI.RYMPLF. RICHARD T% No responso t0 C011e'ctiOn 01(f0l'tS, 923 NULL AVE 1979 ILLL AVE ! OIJ Cl .1:'.171,1: - 101 20461' pARRUUOI orNIJIG i)AIi110U"N 0LA.IR MAC 7/70/00 d/05/00 012%/01 2006.46 506 PNOl:1NIX yp(' PN~1:N1k 76201 No response to collection efforts, DENTON 1% 76201 1).WON g 1~ I SOl 14 760 ppp7V(llD9 Jt7F. 'IpIV$tI08 ~ JOF: BILI. 2/12/60. .9/19/60 8/27/81 180.00 KRUM 7X 76249 KA 01 Tx 76^249 Arrangments not kept,, t tJ OAIIY 10/26!80 0/2%/GI 25.00 ,^201 1 1024% U'LANEY DCII JIRALO IS R Lf`)XY(tnCLE T% 76i0V BalanCO after Insurance; no response, t Na1 CI T% 767.01 ENTQ N DEBRA 3/06/81 0/27/81 391 00 a01 27111 DtxON MARSHA BIkOCt I HILI ' ISI'ilt. 07 TX /6201 11r.NION Tx %buot No response to collection efforts. t 01}NTHUN 0/27/81 34. 00 203 16610 DOW 1%, LEONARD pp MANY 1/28/0 1 . T 011liRAII13HA1N' ` i.• j, 1 14 URAUBHAW 7k %62Of PC NTdII 7Y. 7bP.01 Balance after 1nSUraOCB$ IIO rOSpOniO ti DFiNTOW 145. 00 M Rl ll UOINML'Y MII URDU 6/03/01 (I/o- 7/81 p ✓0'1 2^4606 ~i1lJN~Y }j ACORN RN7C!I 1.0~ 1I"U.0;1 111 2 ACORN HIP [.OT tOTx 76c01 ArmigMnonts ot,kapt,tI'l ON , EIJTON 1X 76101 qh OF ".NTON £1/(17/01 . ANEIIE 12/27/60 19.60 Vol 25136 D~17,~71U11n% 46 , JPANII'tlr (A), nx 46 JE MOLE TX 76226 AI70LG Tx 7622& No responso to collection efforts. ; ' . ` j i 1 1 r.' t t n, 1 i , I r ?i 7 h!i a . I 1^ lkA IP, IIrII)1 II 1= I t_ it It it !i I' t I A I. J+A(~. rf tAb IUI'1 tvhtt:dl,; IILi'I,i+i I:IV I'k~tl(l1) ulut?fll 1'111U ll/;11J1)i "r iI4u NC 4xAn00 49 DATgg 0A1'k. 1)AfG U3' HAI.ANCI; 1 IJT IJ LL'R Non uNNNNa I+A1 f.IJ3 1JAK' NnJI ,i, NNUa i,i'.Altnl(I Nf ) R i I C wlliCUl'I' Or: ACCnUWY t % AI11111'TCII fJI'JCIIAr1Ulh ,1t11C13 Nrd~r. nnulr, c rv, 3? z u+ I,1&, A0011, t11r, 1. 111' 7 H;,1 1 JR ICI ;•R."IIt IUI,i •)H . KIMNCIH 1111 '30/flI Lt/Sl//111111 :10 (10. aU I fntl l li 1 t)41 dlir 1 H P n Nllx'%kU fJAhll:!; 6il'i I> J I1nY y;?3 RUANL7 Tx JP.'?,',.' It I1nJ'3t1x1: 1'X 762G~ NO 1'eS POnSO to collection efforts, 1 :U2 <7t30'J C FIJ tlel p111L L1)1.115 NA01NV. 4/09101 tl/27/11 i 1!% 10 4L VIINC1tlI'f:4 )IIN CIIAPCL 616 LWF~VILC.E Tx :;.ubl 1fiw1~3VILLN YX 75067 No I'LSIMISO to collection efforts, i l 3U007 CII!JAIlUU f,i111I'! I IIUAHDf i Ri1{ICRi 61'910 1 0/0 /0) 45 10 'r NI' 1 U(7% 4741_ ltl I BOX `V ''IL %7 76286 UIIdb10 t0 WOW 9A{J04.k 1"( 7n:.,.b IAFI01 ft i . 8 1 241133 1;^dt1iV8L. U 1. 11 1;) FLf11JAN00 I',UUIYiJ , F'ERNANnl1 13/21/04 Li/:!%/O1 5 00 It 99 I U x . Ip of 'S 1311r U Ildf. fiilh I I)EIJ?n)R Tx 7:,'d01 IJ(.Nf()N Tx 76201 No response to collection efforts. !Oa lUt16 E£f$UyyIVSL , IIM1.5A Lulu 1191103 2/03/011 0/27/611 (325.40 . I UBN'I0N VIG11 910 2 17 SlrA A TX 76201 NO response to collection efforts, 1'x 741'.!01 III N ION V ~ tUl 26:327 G90JIV~Ik , PAIRICIA 1<JOUSVCL C•CRNANDO 7/04/03 2/07/til 6/27/01 .653.00 r7 00 0 TIJL IlIli' 3Jf GOX 0 114L KIP oCWlfuv i',y It.l01 0001-IN Tx 76201 tt 101 2'109'1 FAULK 3ARUAlIA iAl!I.yt , UARUMIA hrrar rI~Ij~slllOt I~Ys1/431 012%/UI bib/ y0 ✓,1U NL+1'fftT Tx 76a'Ol UNIONTTlE r% 76201 OENION Dala Y lltsu p8a Io ro I ) 101 12033 jfi}OLNAMIlUCLL 111A+tOlE vC.A0 q,10 Jlln ~b~/U7 ~i/~1~ y ~/01 459.05; IIJ?OFI Tk /611011 UNInrIMPI1CL1. 3x 76201 I 1)r IJ Gala fl~,,11 insurance; no re Rat 2%`754 FIA04NS wI1.0CAT f~AOJNR wILUERT f3~1It ~9~ /f3S S7 35 bb~¢ 9- ARK LANG U-1 9 PARK LANE D'N3•UN TX 7!+201 ?01J Tx 76201 No ,espome to collection efforts, 1 22296 +t h Ok 709 UTANIA fP~'~CUIL' 3d5 05RALO 5/2b/E1 F3/2%/dl 2x91 00 i TX 16249 KnOM TX 76247 NO response to collection Offar`ts, li KRUJ1 lot 2 1179 FdRRY WILLIAM FLItTly w141lAM 5/l2/dl' 9/J 9/01 9/27/431 (766. 91 oo G aa A' ~Ilr 1 1 pMYON AVL F. YX '141201 I1EII?t~1N 1'X 76701 Unable t0 locate, ) 1102 20b01 Fr IkLOCR ANY fItI.PER TOMMY 3/oVes 0/08/31 0/27/dl b'i 10 toil VINE at I ` , Da htlON Tx 76201 Balance after 1nSUranc0l no response, 11011 26645 (Lr19tF10 JOHN fL@N111J0 JOhN "2/16/U1 2/21/91 012%/91 997 , l%' 101a OINTON HT 1018 to WON TX 76:01 ' OLIJTON fx %6101 VVNf014 Ua1dOCe after insurallt0l no r@SyOnso, I , r ' i I or 1 L II hl 11 61 ,i I I l!nfl' 'rVt./45 1l 1•' . '1 ~U D1r1 ,r•ln•.1114 I.J.l1UIII IIdi 1`114 1111) U u I ~lll IIRU 00'Ilt IU! 11111Y pAli 01° Ohl Akl'li n U Ahil{ITRII DIIICI nlJD1:D 1JIt111.tn•r (lh: AC l. miir rnfkl(111 l11~11N411 tla lunllMF1 I'A)l1.Nf Il'11,1 unpu 1, 114..1 q'hN,A~I(lit NAIL 14141414 1 . 4 n . x . . rbin i.V`J lip 61 1 Y, tl,. PI x I~IItd11'! fb\I1l', Alll)li, I:I IY, LiL 11' Mill IU I1/I:/ll0 II/l7+UO fl/i'//Ill 940 :~1 114 r DON" 11) 11 liir , rl IinrTll ufN11 fX Y<t.^.01 A1M`anquounts nut kept. fu11 UtiuU 1x /r,~„l i)I;rfI11rJ ;10 90 UC'Ni01'1 WILLIAM 11/24/00 WVU/l10 U+?1/H1 l h)ri 1 ac tiun offorts fir 2 , 103 $;,172 FLU~iF`~" 1111. IY AY UO% 3+26 Tx 76227 No response t0 Coll Rr dd OX 9:!6 Tx 76'.07 AUBREY U/2'J/Ul 146 UU AUUlIt( JIMMY 3/15/UI lin ?;!63 fGfiIEll , JIl1MY t3913 At lie 0A O6Nl'JA TX 77075 NO response to collootton offorts.. 1 UU5:1y AN 1EDA OEM% r X '77073 1 PIOUs'r1ANk r0N 0/27/UI 62 50 Il }IARRY 1/'e9/Bi 3/UI/at , ' 101 13647 F'AnNR pp IlnfiRY L p ll Ilex 11)0` iX 790670alanco after Insurance; no responso, r (I utlx [POW Ix 1)067 U/27/01 620. 19 1 ItA1JFt ))ANIJY 12/14/00 12/17/00 I.}NDA tfRAN 1CCt.1011 UffUl`C5. N. Ll'1f:Va7 nl t 105 241'18 FRANK C,UCUGi 111 5 DLWTll1J 1K 76'x^01 No I'liS1101150 t0 C01 04 $0 O NTOIJ 1X /+,!U RONALD a/071al 0/:27/81 RON.%LU fir 4 03 1 f ;OS 27`2id It 't MIX 6y r 4 Rax 69 1'x 76201 NO 1`oSponsO to collection effa't5, It 7r, hGHTCIIJ U/2'/let i 1 0 l:Afllt(?y' f LC.FI.EY 4/02101 204 10784 AftJtHiTT LV'Jt L'.Y 616 CRGO£JTIMIlfnO M1 TA 76201 NO ro5ponse to colloction offorts, / E8111 l,RRGUGI'Ilium KI rX 74•.'01 1)cIIVON 945 912 pDIJTON LEDN I/IU/U1 1119101 0/27/81 PAN UA[tHLtT 1 + 1IM 7513 %tRG'IT 2,0L1 C11AMUERd IX 76201 No responso t0 collection eff01'ts. p~N1d IAN116N(1 TX 76«'81 K'NTt1N 0/27701 9l. 60 VERONICA 4/29181 1 . 4E1+r)N[CA OAIU141'T ) a Gfi )'IMDERI3 NI 816 C}IGUa T 111DEftG III TX 76201 No I`BSpOnSO t0 CO11eCt10n efforts. j .04 39aa ~tiftrCRp a16 CR T% 76201 UENTON 4/67/01 0/i27/el .00 DENTON 3'1 JEGUG 8022 I0I87 q fl DGI.()kEG 4XA{OL.LO YX 76201 No response to CO1leCtion effortS. ) 764 qPJIOLL0 TX 76.2.01 Dr Ira 0/77/81 00 " UEIll N APMONIO 5/09/01 GAR ZA l ARIA JLrdUO '114 A I ,0( ~4w0U qq qq •114 APOLLO Tx 76201 No ros.Qonso to colection of forts . r gtJ70NOl.LU fX 76:01 Dr.NTUN 5/17/79 fl/27/81 60.00 i I1nB000 IiUHN JANI , MnGDVD 1 24g 2971 RR{ESIMIZ ANI TK 7J3:Ih',l KF)IO0a VLE TX 7a96a Arrangements not kopt, 51.%9 µ(1089414,4E UUNIJIG 4/OU/8t 0/>7%/dl 11GNNlfi Olnati I ?01 2£1071 0t 1Otis 'ADCIiI 03 150 NCAUOtJ 95 rx 76901 No rospnnSO to C6110CC1011 l'ffoets. 'jol q f% 7r„41 UliIJ 10 11 NTn i j f t r- J6 ~ . ,uwvssw I'i,tl. 'I.1 ,;I'I I I I.' I +1 VJ 'i t II •.t ,1+ ' S I' 1 A I PAVV f. IIAU Pi,,,\illd It f<I I .b 1 I IiII Vi It Ial 11101/UI INi1U 1,1/,11/01 • + !1111:111' MUhP111t 11 401n44411+ I'AIIINI 1:1,110 e4.0+ +.I. i 101 a I;W'1I0NNIIIH NArif. i44,•19n40 1)Al'It Dr11h I1n1C IIF II At, Al :C? IulMl+i, It NAMI: ADI11+, i,IIV. 111) 'I041 AW;tr, 0111, 101, 1111 AIIM1fTIlD 1) 11111IA1t01i1 UNIIF01,V 1) r1 ACC111114V ' f $08 I'PjO QIt lit it I iLlhllly lt 111 NI 1 DANNY 3/~tl/01 0/.1%/1fl ;IO, 00 iIT. LI771 T) IRIYAI.l1At\ It I'.! I 111 'I'1 R()YAISIAK 0 Itl4}ON Tx 'fqI 1 I NIiwt TX 761201 No rrsponsu to collection uffurLs , ? L10LI IOLh72 [~DltliAlll JA'Jt1M 011 LiW,AIH JOHN 0/01/01 W:11/0 I 40 %S }S'.I JANN I L•' IAIIN I E, I OEN1'UN rx ~d'J01 Df.l I(III TX 76201 NO I'OSI)OnSO t0 CO 110Cti on 0f Fall Is. 191 ~V119 QL.ICKMAN r IIAROL II, II1 NIIA14 r OIEVE'N J/3I/UI 4/U2/111 (1/6'7/01 379.60 RI 3 tiiTCLLA 'r IJ 1J1'EI LA t 17EN7GN Tx ,6?01 br,H wN TX 76201 NO response t0 Collection efforts, f .?06'3:3 6 1J JUDY AO11N VALUA 4/10/01 0/27/tit 49.00 205 NORM I.CICUor XJ 5 NOR(II LOCUJ'1 I ! UNNTON TX /6;iVt DENTON TX 76201 No response to Collection of forts. 1 27616 (iUIDOMITit DUNA 00L.0SHITII ALLEN 10/OI 0/e7/81 00 1y P~'t 4 rNL SINCL'T 1,04 NF OTRCGT I )AINl6V1LI.E TX '01 o RA114LSVILLC TX 76U40 No rosponso t0 collection efforts,. 101 3''17~17 OI7RDON IIICIJAEl. S. Fm 111CIIAVL 1/17/01 3/10/01 U/;t7/UI 1"1,00 9 0 LUt20O14D@RnY e14tl 140 t 0rIP1'IN1''lrtRY N 140 + Cll"J41 ON Tx !r.;!l)I 1011014 TX 762!01 Ualanco after 1115Uraricol IIO 1esponse. ' 101 20406 003H"I'T r IIARK 6U5UCII' r MARK 4/11/01 4/21/01 8/27/01 ,00 I'W( 91EWART 1,116 51GNART I DL-N ON TX 16,101, ULNTON TX 76:!01 OalanCO after Insurance; no responSO, 401 ^91x7 flQ'ACh' IIONAIJ) III ACV, DC114ALD 1115/el ' 0/~7/01 64, 00 U43TRDAN 10 0127 TX 7.,059 141) SDRUAN 7R N127 TX 76093 No responso to collection efforts, R 101 26406 oRAHAM JUDY JRAHAII JUDY 2/07/01 2/07/81. 0/2'7/01 573.60 tlK HALL ISAI TWU tIX 62 I Al NN . T''A 75204 KAUFMAN TX 75142 No response to collection efforts, h 101 Q3073 OCRAV `3AM11Y GRAY SAMMY H 10/10/60 11/19/e0 8/27/01 $26 00 y 0 OKINNLA 9110, QKINNCR ENTl14 TX 16201 DGNI'M M TX 76201 NO response to COlloctlon offorts, ~I. 101 261014 rrF~IRGUETT r Will IAM (INKSOETT r WILLIAM 2/14/01 2/16/01 0/'27/01 966.00 j ( KfiUI14S9 Tx 16249 KIRPM15S TX 76249 No response to collection efforts, I Pot 2461?? HA1~AS I ANNA IIAAO , ANNA 12104/80 0/27/01 80 00 0 RADIS9 d10 1'x 7407;1 IjARA1 0X UISL a48 TX 7607304 responso to collection offorts, f 101 17417 HOCCKFft CfRJNIE IACM11 , CURTIS 3/ 3/01 3/16/01 0/27/9t 124, 09 { C U9 IlYnE:T Ir+tl lyX 1441 l r WNT JO TX /erw45 tlAiFIT JU 1'x 76260NO response to collection efforts. i ' , 11 ` 1+ ~i,r I x owl 1',AIV 4116101 II 11: F L i1 W N I: 11 r) It I A L, It (18 P I T A L PAOE OAD OGIII 11'4AN'.il'f.lt RLr7URr ran PGRtao u/01101 THf1U U/31/131 V P/,IICNI HUMRCR IN4t .NX PAr1F.N1' NAPS•'. XNV9X,94a (31.X4(3(34 GUARANTOR NAMIZ X4NXNUnN DATE 4ATR OATgp OP DALANC5 VPx IJU119CR NAME, ^)Dri, CITY, ,J 1', IIV NAML•. ADDR, CITY, 9T, ZIP AD1111'TED Of9 1AROkTf1 WRtiGOFF OF ACCU NT 40 1 1 : 9t1>+ 11401. Y% t D } I.AUN IE HAD L X 101 I, AUR I!: 11 /04/40 (3/27/01 SO7 50 ~~V p q l! i1 L W II.I.C Tx %906% LCWIN ILLk 1'X 79067 HO rOSp00Se Co cO11eCLI0n efforts, / 201 300.0 IPpGAiR CUII1'19 HAGAR CURTIS 4/?9/O1 0/27!01 317.00 (f POIJDEFNitlx )80 1'X 76209 PIII ONUGRUX 1::0 TX 762" No rosponso to Collection Offorts, 01 27632 IIAUUARD JaD'f FIhIi4ARl1 JUDY 5/30/01 11/27/01 ;:a0 90 IiOX 964 NOx V/64 } LAKE OALLAG rx 79065 LAKE UALLAO TX 7'$065HO re SPOns8 t0 C011OCtlon efforts. t t01 2,1164 11AMPVON CARROLL HAIJPTOM CAfIROI.I. 11/1!0/80 12/02/00 0/27/01 104, 20 1,91 UNO C00 JUtJO it DENTON Tx 76:01 OCIIrON Tx 16201 No rosponso to colloctlon efforts, 1 101 15077 ~IANAINu KVNNCTII IfA1,I 7NU P900Y w/21/Oo 4114/00 tllp7/Ot 20!.41 I ARGYLE Tx 7,,i!.6 ARGYLE TX 76226 NO rOSpunse t0 COI 1000011 of forts, S 1111 17401 11ANKIh f OUS HANKINU Fit (111118 3/'a0/JI 9/L 1101 0137101 699. 170 i 3307 [.I. IKIRTB [in, '..0D FT 1,4.IRT11 oft. F~j}I;I-Ifinl TX >!.~'01 D041 ON 1'X 76'&Io1 Moved) loft no address, ! 1 141 271,10 l+tlt1O8R7 11LOINA FiAROEE/ MICHAEL U/00/91 a/OU/UI u!L7/91 09. NU LAWO TX 7904 P6AIJh TX 75074 MOvedl left no address, 201 Q5350 ~JI(~ pen 811E Ill I ER ALONZO I/04/171 0/27/81 R1. 90 j 01 j+ PILOT POINT Tx 76.94 PRILDr POINT TX 762SOND rusponso to collection offarts, a0t 27669 IIAH'r JL6F HAR JEFF 3/20/Ol 0/27191 30.00 F 100 Vl,I'luvo LANG n:19 1009( D140N0 LANG 1429 LEIJ~fIVIt.L TX 70067 tKWI(3~iLLE Tx 79067140 1*45p0n58 to col lectlon efforts. 101 26791 1i qnN GAMEST HFARN ERNEST 2/80/01 2/28191 0/27/01 ii9 94 q~x 50 IlWY V20 Df)X 05 H14Y 720 LITTI.[ ELM TX 79060 LI ITLE ELM TX 75060Ualance aftOl' Medicare) no response, 101 14602 OFRNANDEZ JOAIJ H5 NANDCZ HGRTDERTO 2!10/80 8/12/80 0/27/01 166.30 1 PJ24 NN ~{ANDINO JI',d74 N WARDING Fr WORTH TX 76106 FT WORTH TX 16106 Movedl loft no address, 202 4199 HOLLIF CHARI.EO WILLIS CIIAnL.E9 10/20!79 0/77/01 70,25 1 f! 111 t6;TELLA dl 2121 STGILA Nl ' kk1 OCN CIN... T% 76301 DCN rO1J 1'x 76701 Moved; loft no address, l G 0'10 0117 It O0IICt~ C1IARLEU IIUOliFB CHAfILE$ 5/00/O1 tl127/tlS 191. of) 5 !I LLW OA 9 S 1,W OD L •IJIBVILI. ' rx !7067 I.EW41IR1 - I'% 7506Y MOVOd{ loft no address, t ~r.rY K ,fir ,.1 n r+ .I u t ~ I II rl I' I ) n r~AOC O 10,11 UI111 IP/04! IIl HLhlIli I I- (IN I'LItILI)) U/UI/UI 1111LU UIJ1/01 VATIIII C 141)(101111 uluuuanu.+ 1.1r'lVNI IL11'I' u,uu a~'++ .t.4UlAt•IItiN HAI't: AuuAAruA AIi14DA T 111rkV 1) 19L~IIATI IW 001!1) 1111111NIVf OF'U ACQIONY. P F % IIt )Itl'.IIN ti,iltO AU(1H L I IY, 11" i 11' 1".i"t O )WI ; I 1 Y i 1 191101Y .)At: K9111-4 ILINNY G/O:i/Ul /UI lLlO .•:;S '10 d`I//UU )AI)Ij I G LION x I NQ YLnJ uI%M1 Tx I jo2I Moved; loft no address. I G'I' 'TX I III DFIJRO l nr•.61 ul4o I.IL.L.IV Jlnlll!ION 101IAR0 11/14/0tl U/v7/tii Jk JO del 11463 )OHN1 ON f JI Htl)f 4L+:! u 444 pI11L(11'%PC111 Ix 12 ::+H PH (It PUINI rx '7629UNo 1'05110RSO to cOlIK IU11 Off01'ts- r IWOI'R 4/1'1/111 b/o//UI IS J0 213 140A'/ KEILItC I111Lr<R P.I.ftit /I . 0AN 114 7)6 LOAII 11,1 0 ENTON Tx 1112ul OGN I UI ) TX 76201 Moved; loft no address. t 101 27111 KWNRY FRUOIC KIMWY FILIXIE 7/02/01 :1/04/1) 1 013%/01 194.00 414 f4ILt. L'I'RCCT 4 4 MILL [TRI'C:T OENT[IN fx 11..'01 I)C.N1ON 1x 76201 Balance after Medicare; no response. 1 101 vow IIRK Cov KIIiK MICIIALL U/27/01 31I6/8l U/27/61 IOl'/. 90 NCIRTI iaAY AI) rS It I'I O Nb11 I I MAI E. AN I J 0141) GAII%ESVS LI. T% 14,.!40 CAINESVIl_LU Tx 7640 Arrangwoets not kept, lot 27691 KIICH , ORENI)A MICII nfICflOh 3121/61 :1/29/01 V/X. /Ul 3099.60 I C. Ix 790A7 NO re51011Se t0 Collection OffUr'ts 1 `)'aI4S 1d bw I CI L.LIAf1C LUM14 0 TX I L944LII0 ICVI11OAR(' LL80419 lot 1IM13 ONE L.EC ONGTA 11/09/00 11/iI/UO U/27/01 4'04 19 H AVt-wUI V. 212 AVCIWV. C f% 76201 Ov1411) N TX 71,201 No response to Colloctioo offOI'ts. I U NTpN U/27/01 99 90 pp CIIARLEU LONrr CIIARLB8 7/04101 BUI 30970 I.~ll9 119 n¢LL NTUp,nCi.L TX 76:201 0 NTUN TX 76201 Movodl loft no address. fI 102 11224 1.l7YO'a SIUx 2?2f1 )AMLIS ItTYf12i t11'Ix 222f1 JAMCS 4/13/1)0 4/19/00 U/2'//01 292, 99 ATTUUn[Y TX 7027 AUiiRCY Tx 76227 Balance after Medicare; no response, + 1,02 toil LYNCH C1140Y I.YNCII Lf)CVUT X72 r KATHY 14/29/80 12/1`3/80 (X/27/131 2007 20 )L0, LOCU9T X22 TX /6,2,10 1 OENTON TX 76201 MOVUdl loft 00 address. 1€ OhNf8N 202 loll LYNCH C(NDY I.YIICH JE00E 6/13/01 8/27/131 42, 00 I 11TI41U JUk 3 ACORN RANCH, n I 9 I~ u J ACORN IiANCH x 36.101 I111.I4TUN TX 76201 Moved; left no address. ) j CIIARLES 11 /1619/80 0/27/91 60. 60 201 (241!04 rApFpt1'(tN , I 140111'111 •lll. F,VAN6 N. U. OO% Si29 IL OII1f1%92`1 + I p U' NT TX %bl'y0 plL0I ' PpNr TX 76200 No response to collection efforts. f'U f L)!I I?NMA 2/29%91 3/16/81. U/i!9/81 30 60 101 0996 11h£ON UMMA 11A8 ALL614 0 n~WTnl,LfiN fk 7G-x01 UNFUN T% 76201 No response to collection efforts. N ) j+ I i ti,tiTG. 7il<„'lil I1 Ia I L. 0 e) M L. vl tr II i r t. I, u C I~ t '1 n I. PACE 9 i 0,1U UI:III IKA,ln;lVf, RBPGItI 1'UR f,f:'IIIUn O/OI/NI 'lllftU q/f31f 1 pp MAI ICUT I1UMI'F"R A~YawAwYr PAT7'11INi" NAhtl YAYwYwr,Y ar,r3aw.r OUARANTOR NAME' OA.+ nYwAa"rwY AIR111T1-D ft IYl8CF3rr DA L(t1P gAi.ANCCfi HX IJ~JltfMR NAMB:r A90R, C11 Y, ;TT, 111 NA11u, AI1UR C11-Y, Uf. 1[I' AQL•'4 Wit T'EfJI'1; llf Ace VNT ZOO /A 1i90 NCLINl.Y CIIARL,Lq hIC411CSWl;Y CHAVIXU 4103/UI C30 00 , Id40 N CUUAI4 t.117 7L+ 4 1 IV, f0 N. c;iINAN 1,01 42 LF14 113VILIA T'k %9067 (,EWIIIVILl E TX 7900'/ moved; loft no address. I 106 1014 11) IY:IIHI.I. CAl,L1E 1911C311CLL1 CALL.IE 11710/!30 II/19/UO 11/.7.7/41 183.00 A~IdT(IN 'UpUU Tk ((1''I EDCk.WilUl1 76201 1)F.NI ON 1"K 76x701 No roSponso to coI ICC t1 DA effertS.' 101 25400 NIIRMANN JUDY 4LjNliPl PI1J , JUDY i/05/0 1 I/0%/01 U/0%/QI 679, 20 j 5 iJ 9 HALEY 14206 41LW lp,L I VIIJQ iX '!9060 U000P1. CA 79073 NO 1'OSp011S0 to CO110CC1011 off01't5, 102 :79400 MotIIIPIA14N JUDY M IIRMANN' IfUNAL1) .+/25/41 2/20/1)1 0/27/111 714, 9Q 0p 4 HALHY NaUb 1 8 0 HALEY P206 IIiVINd TX 79060 1fIVINO TX 78060 No response to Collection offorts, 101 211030 ~uf141UX LR3 -A0Y4 (1 I 8URE i OLADYO f:/2;/al a/2^/FJt 4/97/Nf 208, W) I I II Qu nux 2433 VANOEN TX 76x66 UANOkR TX 76266 No rosponse to Collection offorts, 201 211192 MO lit RTCCA1 MARSHALI• 1LRULCAf MARSHALL 4/05/01 0/27/1)3 06.90 I f Il...1 1':3:'I'. 1:' 17. 7:u!'; it No I.OSpUIIse to COl Iucuun of!efts, f01 x24:3711Q REALI JAPliiu RkAIJ JAt•If•.S 19/01/00 U/15/00 0/77/£31 3764. Y^.0 Jp'6 ~iC''Nft DR R 0 H CtJlC Ufi I.EWISVILLE TX 70067 LdIJ1NVIlLE TX 790b7 NOYOd; loft no address, 200 1459 PARKER DALTON O/27/fil 74.00 1111403~ 0R PEACE, AVC E, APT ~A❑❑kKE' UALT4N b/07/4l 1) NN Tx 76201 11CNTONox 4e. 101 26602 ~'ECOft~ Tx Y6201 4alanco irfter Medicare; no response, TT 140AH PNOpRA PAUL 3/17/03 $/19/91 4/?%/Uf 3099,16 r 11 pp x 691 rrl 11 OQx 655. AU11. TX 76P..7 AUeRL•'Y TX 76V.!. Valance after 1nSUrencet no vesponsor t t $6693 P WE'LL LA14RENCE 1'Q14CI,L LAWPSNCLI ;,;/03/131 W97/Ut 64.44 R 1 114Y, 107 111 4 POX 107 0 fifOPt !x 76201 1JENf014 IX 76;101 Valance after Modlcaret no responso, 1 101 2.?741 PI II& tVEi Y14 PR NE ('V1,Lvl! 10/00/SO l0/1211/00 6/27/81 141. 84 1V I 14 R11(E AW 19 4 RICE. AV(..' ING5V {.l.h 1'X 76240 AA Nf,3V11.LV Tx 76:40 Volonco eftOr ModiCarol 110 response, IM 49601 PIJC3L4'T1 31 LY ILL.1' 1/ll/1)1 4/027/61 84 93 1',3 I' 6 010 EiI,IIY~tAI.~R P 13yRl rb 010 GL MI"It4 RI U@NTOH IX 766 tX'NApf Tx 76101 Satance after ModlCarel no rospen90, ?01 ;7449 p3 NIMull 51MUN 3/13/41. 4/27/111 04.70 RN9y q 1> wdnq p 14fUNC10 Tx 7614)01 DUNIUN TX 76;!U1 Balance after Modlcaro; no rospunso, f , i i j r ' ~ . • ~ pren 1 1 1 In'I: tliltiill lJ I~'1, f-- 1, ii ar Iq 1 II it n 1 I (l ~ I ~I A L PAGI: lU pAU Ulilll IHnr13FCq like i)17T FUJI ('kR1UU 3101/nl TIIkU p/f!1/131 f tt~ll'IJr Il1M.llai II~MaMAY+II IA7II1:N? AAPIF'. +xux+a~.li .ia.vxu.,~.l uV,tRANTbn IJAI4l' ++Iaa+axx pAt11i u(~Ar I)n'I: IJf•' DnLANCC /~'Fx fJ!~J4U1'li NANO, AUINt~ CIfY, pT'. LIP NAIA, AUUII, C11Y, •9'f~ 11P AU191TTIi11' g19CNA~OCU Wk l1 F:t1fJ~ Ur• ACCp~IJI i s ' 101 (1G:31T4 6AIJl'Itl'~2 19115 F' CiAli~Htr.l I'IIHt°. ~/UL/U1 p/OY/HI 11/:27/UI 49B LU F:P11'lltf: CIJITiI. NL"II Il,/p (d (:IiL";:i DAt.LAFi TX U 1JE4J UIt,ri1Nl'EI~ 1'X 7p13q NO rl'5{1011Sn to CO110CLt011 Off01'CS, 1 fUl :y9L'% EAM)L•lifi PATI { 9JtfJDlf!!" IIGUOLn9 .^.111/pl ./IJ/91 t31Q%/tll 4eD 65 1' I X kl' 1 U[+1 d7 n1lJ GliTnlli }j% 7G..01 NO 1•CSpURSO 10 CO11UC tlOn tlffUi`ls, I UErJ 'UN t z 7G:'01 U!"Nrpll r ^ ! .an! ?9~1 ~13 $AIJUGfi~ flI~IC.I11tY UAN )laid IIEpICfI lft/:%/p0 H/tt7/Ul 24. QO N4:'U l.I1VIpE: ?4~Ia C31Akt.n1TG I~;U OENTUN Tx 76201 i)E'rIT(hJ Tx 76pD1 NO I'CSpOASC LO CO110Cti0n CffOres, I rtll ~LtlHb 9AWI1lifID(1N , YVETrE. E3AN7)kHt;tlh ~ YVGTtF: .^./2f./bi H/2%/$I a0..^^.D pp pp U{3bx i?4y4G YIJU 9TAr1 UCI.t U4"44 0Er1'I'diJ rx 74:0'} nENTUN. Tx 7v~o4 No rospunso to collection Cfl'orts, i 2D1' I'J:3Ub ~~gqIIC(1YY (1 ElltJAI?U fi0Uj1T ~ C a/^.G/Ui b/it%/lll La. 9q ' 0/gi[IJrlV1~1 ~+Lt TX 7G2~U Or01~INLbVILLL 'f% %6240 NO rCSp0175C i0 CO110CttUll dff01•tS. ::0 t3 IGA55 bbF:y~F g1CPHANI(E flLLY ~ CNY+STAI, 10/pD/p0 $/?7/81 3'0.60 R1J UK5 ACUkN 1911P~ PU Ilflr IOaI Ul...it Ir i n ~i I nlfL J. ~.I. 1"ti /i'il~h) Nn I'0511p'1.d l0 CO110C 11 d11 Of fUl'l5i "i; 141Q1 HkIAVCR EI)GAIt tifIAVrlt EUUnft I?/t30/UO U/a%/HI 9~i. ~ y ' 4 f o~qf ~3,ly pi'IF D~WYgAI t% 76a0i i)a:'NrbN tz 16:01 No respnnsn to Collel;tlon efforts, 1 IU9Hn' 6fIrRIIAIIll CltAlil.EY 911FPF{Alrn CHANCEY 1/2U/t?1 b/87/HI %b. DO pl4 C AMUEIIFS a(7H 31n:•IIf£NU r~rNYnr~ Tx 7v~01 oCNr~+J Tx 74.01 Ilo rdsponsn to collection offorts, I JUI 2t!5U'/ t.'HI(R11E1ip PA%TGN 611EJ'IlkfrU 1'AR1011 10/14/pU II/kY/lTl 49. JO ' ,,yy rtl cilnNUttliy bJI GI f6d'16 f:72S nENT(tW TX 78aU1 DlSNT01! 7X %a.'01 NO rtr5pOd5C f0 COlI0Ct1011 offtrrtS, I 10; 15447 EgII3If IJILI 11d1 ttillI~'P 4111.LIAl9 a/90/9G 9/0:/730 U/P%/01 9p4, tiJ 11Ux Ii' (111%,11:' cNlc rx %va.ru cwrcu rx No res{)onsd to collection efforts; , .'US ..^'lyd~ E;IIUf•f•'161.f3 OAkY ?J73UF'f~Iha.U , OMJY I11/01/H7 D/27!pl 11.00 j j UpX h"t li[Ix y3f ' anNaEk t% %L;Le,4 yANUE'R r% %La44 No rosponse to collection efforts. j i'U1 i'h:14D ~~~IItP(iT , L.Ii.UW '.tIJURI'B.Y ~ Ln1H i?/04/Cil 'U/$7/$1 3$. qll ~ f~'j`"'0V F'f NDRTII M;Sr) 'r100 F1 NgI1iN MUU hriuN Tz %Lanl PiLNrurr tx %GUOr No responso to collectlon offarts~ ~ "41 ,'7tt00 1911' I , tIUHIJNY (11911}1 J(7H1lNY .t/29/U1 b/G'%/pl al Dig '1 U ~1Hg hubJlB/:114 F. IIAAp U ll(lx L:115/314 1' 1(Ak0 ~Ai.tSlCll hJG ~161s rJnLLlvn l9C ~741Y Aalaace after Medlcarnl no 1'oSponso, ' . i .._.......__...._..._.,.~.w:...._.. _ _ _ .r; ' j KWAI M firlli ski l.: ~,II I I 1 3 F' 1. U W h L M U I7 ! \ H C P I' I I' A L PAQE f l NA 1) Ul.r,I IN,;N'Srlr 1rf.Y1.11,I ICIII PLO ILID U/0IIQI TI III U U/31/ul . f'A1'IL'Ur IMMIC'II 4411,dx4ll4PAIiC14r NARIi A 0W 04x,•1 24,,4 OuMIANICjR N.AHC 44 0444 0 ~ PATE PATIki fr)Arr fIF UAL.ANCFF: rl'x IIJI'Uelt NAM[, AU1) V[IfY, UT, (IP NAME, ADDR, CITY, 9T ZIP AOMITrel) 1)l9~)IAAOEP WRI~CCI F OF ACCl1l1NY j i2Ql bi62 n111yII11Ux :':1.111 11 1/17/81 rl/a'7/n1 36 00 AUfINCY rx Balance after Modicaro; no ruspuusu, 101 '1100 1 fI MARY irlIIH NAnY 1/ax/81 1/26/91 8/37/aI 230 00 OENTOI41triVL WX 70x01 ~FHTONERGL TX 76::OI Balance after Modicarot no iulponse, 1i IOld 712% PL•'Anlf CHARLES 1 L:Pf'AR8 CHAIII.E9 r IV/a0/90 1/01/iii 0/27/81 IQ 00 0 UuX T32 P U UL18 J ii' ILOI PrJINT 1X IJIL.411 PUfNI TX 7629U Balance after Medlcarel no response, j tail 1.N56 T CKl?H I.AIIRId14CC' U IUCK0 L.AWIIEiNCII W 1/07/01 1 /1VOL U/0/01 204 20 IIIO,J 1Jfrl)TII DR V111 Ix 16201 UFfItON WORTH DR II17 TX 76201 Ualaaco after Medicare; rle rusponso, I01 241407 WNIII'. JA14U,, 4110 rl-* JUAN W 1 /09/01 1/14/UI 01127/11; 1416 40 I 7 1'a Unx %Fllt1 PE) IfOX '/III) PSLOI.P NT Tx 71,250 PII Of 11IIINT I'X 763f)II NO reSIJ0H$Q t0 Collect1011 efforls. 10.2 3(1994 WHkII'1CLI~ WLLII.EY 111111FIG,.n AN14A 4/13/91 4/16/01 0107/U1 991. 111 4.) i Ul Plitl.. it I E9 +IOf) 'i IfI;gOGLL. 111;]9 UNION rx /bUl) 1 L1[14I1111 rX 76301 NO I'USIlOnSO t0 C0110CH011 effurts, r7, :304 V004 WIQOINU JS?U 91E 14 10,;IFIfi .IEO$If: 2/17101 V/27/ul 147.30 1 0M ION 00`) 1'I0 l1 iA. 0ENrON TX 76:01 IIGIdfUN TX 76201 NO rOSJ10n90 CO COIIOCtiOn efforts, 101 21046 W~LDL•'fj lJ1LLIl 1I{pyPGGR WILLIE 10/21/80 l0/Q9/00 0.127/01 113,1 44 Olt E ANDL31L9 8f Ix 7Y706 MIDLANOC31'L9 91' TX 79706 No response to collection offor':s. I, N OL 104 2199 I TLL If1AA0Ai21ISp APA WILL IAMt1 HAROLD 10/,10/80 11/06/80 0/27/91 218. 04 14 nX 914.MA000X AF14TON TX 76201 OLN fON TX 76201 Balance after Medicare; no response, k 201 29574 WILL.I0haAPl' OV1401a WWIIILIAr-3AI'T DENNIS (/11/81 8/27181 65, on I I LA22HG PALLAIT TX 70069 LAVC DAL' Al TX 75065 NO VUSpOM t0 CO11UCtSOn efforts, ! ~I 202 16160 Wlt." pt1¢g FLOYO 1/02/01 8177/91 21 00 ? . i RA0 NPOIJQ l'R l6L t IIf TX 76201 No r4sponse to collection efforts. I 101 20792 WILLIAMS JAHN$ W1,t.IA14^3 uUYcr 4/20/01 4/22/81 0/27/81 465 .10 :196 RUOOIILa iVU iIUPnI;I L 4 AUNTCIN IX 7(1:01 DLIJIUN TX 76201 011010 to locate. I .01 76142 WILL APItt LCNHLf* I14 I1!.1.;1jAt•15 LEMUL.E Iqg/01 0/77/81 lea A0 (lgANnKF, TX /61168 f1VQ111KE TX 76i!6C No r05pOnS0 to cotlectfun efforts. I 1 3 r r r rr. ^ ii 11.16 X1,7.' i•;fl It I f i. 4 I! r' F: hl (I H i A 1. N .I I 1 A L PACII Ik _ Uiih 01111' 1R651L4 0010,!I fWL Pt 111 LID UA)1i31 TIMU 0/al/01 PegT141It I)In 11.14 w'PAnavwrt.1 F'M1Tt1PL T tWO'ii Rol, 4Aj41 14,01~i.1 iIUAVANIOR NA14F 1Ajo40A1 DAT~ DpTii' DAI'L' OF OAk.ANtX P A :.It11117M NAME- - ADDR, CI fY, ~SI Ill riiJ•IES. AODfl, t.I I r 1311 111' AUM1I'SIiU 010CIIAIIOt4D WIN I ~BOFf 0 hOCUUNi ~UV ;:•1:160 IIIl1.1AM13 HARY IJII.E.IMit; MARY 1:1/01/00 U/87/Ill - 97. 5V W. I,AKLbIF:W r''1,0,1,VtfN No I'OS ensO t0 CO11etalUa efforts. I I,Htlt DAt.LA ?,x 1,W0 I"WA UAI.I. A13 7x 78069 P , 201 0!;!06 (OIL LIANtf I}ILLIV W) I I IAl IS NILLIP. 7/el/00 l3/27/Ei1 40 00 111' I bOX 6u0 R 111 1 ULM 650 Ir NO I'o5 )on50 t0 COl leCtlall effel'L5, t 2ANOp.R I A ~h';M& I;AIICLR TX 76266 e!QI 4'0d07 III61_IAFI: UFI . t.LIIAULIH 11161,IAh 6N L'LI IANL III I1/23/DO tl/:!'//t{1 64.02 I f)`I9i/N9fUIlkiflTl;NCEtiF;r1 fX /!1201 1)U Illl~I.IICHES;rEIt T8 761;!01 Balance after Medicarel no response, 1. 151 211 721 NII'MIN OARUARA 1411:;r11d RICHARU 12111100 12/19/f10 0/U%/01 '70.75 IlflIx 1.06 OLG Iq6 l , 1 At1DIIF.Y 1X 7h'..'?.'! AUIIIrt;Y •fx 762;7 No ruspullsu to colloctlon Warts. ,?Ua 11019 WIl.SUN l.hflRY `iFl1 fl1 IIIi.LEN 0/07/U0 11/27/01 154. 00 i. SS 14 AVE' V 1112% 1 14 AVF C II 12/ 1 I1 F. N1 ON TX 76:01 UFNILIN Tx '/6.301 No ruspullse to colloctlon of forts. I. 161 1Wil 141.11LIN LL•'ICII L111.IMN CHARL,F11 U/:'6/00 U/30/14 0/27/01 4El.W :'tOflC AUt;W)lA )Iii%4 ("llr'013VA 3 rFIJMLIA I,X I!.;!nl• In IIII IN T,r 11.2ot No lusponso to collacliun e(l'urLS. ;.'ill 214:f6 WILSUN MICHACI. 141fI.i()LI WC11A1L 8/IM)U127101 10:1.75 1011 RUI1UGt.L.O!M 11 B RUDIM.I. Oil 1 DENTON Tx 7!,001 DCrrrON TX 76201 No response to collection Of rurtS, I' tot .133,16 WI1.50N, PAUI. 141Ld01 CLDON IDIV/00 tO/2H/80 U/27/01 ;121.'70 3sq 11V~I1•. OAK .10 LNlc l LAA NL.t.AS TX 7$060 I.W" DAI.1 AB T% 75060 No response to collection efforts, Pot ~4727 WWt E VIN RICHARD WII-SON rIICHAOD 12/10/00 0/'27/0; 06, ".35 (10 106 LIM 106 } Ai/l RfiY TX 76.112? AFIt.RVY TX 76227 No response to collection efforts.. Ii 101 117$2 lj~((IIJ1HA~1 010 Y DAsiFNUGJN VIROINIA 7/12/80 7/17/00 0/27/01 00 1JNdgl~FIAWIJCG T% 76:'01 UI I)llOtjfIAIJWCt Y% 7b201 NO rOSpOhSO to collection efforts. pFFFF VON V 1 701 201306 WIFE nLiY 611 Or CHUTCA 11/26/00 0/i'%/Of 102.75 gLryet) HILL. 716 HILL 1 : ON YON YX 76201 D4 N 1014 TX 76201 NO rosponso t0 Collection offortq. 1• 142 ICIP08 lJf.1111.8Y aILI.Y I401411.Y LLOYD 11/l6/t10, 8/R'!/ul ;'A Or) 11UX 446 1W 246 NlI.WARK IX /LU'/I 11W 446 lx 76071 NO response to colloctlon offorts, I, ~t4t L16711 YAND 110VA 1/.II/Ul 0/.7/01 IN 00 prPtroN ESCAHO IAITR39 1)F.NION Tx /6,201 No response to collection offorts. I' I 'I 1 x, I _ I I • II , ;i I?!,1 F' 1 t n.31 i l t i .1 F' L J VI 11 i t1 11 Il I I 1 f Il 5 la I 1' A L. PAW 13 f)hU Ut1,l tunli'iGlt 11.fc)NI r~)fi N.'"P UU U/01/01 fNNu 0/31/1111 p F 11'1mw f Nl!lipl•:I! uaawau~uu PA11FN1 NAI' aapaaaia4 i,4i'uua++ C.UH11ANION NAVIV. ataaauaa AUW&D Uff3011IRUfE1 IDJfi1Sf.QOV (INiIA'CCOUN1 , PF'rt 1rJ1~11ifR PlAI1V., AD011, CITY Oh 1IP NAPd?- AUUH, i IfY il. "L 11 _..».,y i TOUIIAI I: 2/:U/D l (11d7101 6D. 00 IA ; e'01 a'h7`7N YEKTA , 10IMAI I'•: P 0 IJU% t)lila 111f+11 I` U Illly '1111:1 NI:'ill blirJ'1ON IX YeW03 UF.NION 1'% ''1GC1U3 No r05pu11sU to CO110CtE011 Itl'I'01'tY, I 101 1910`7 Yil 1111 CLIIIiA 'Pl)I+k I IROY JO/I?0/D0 !0/D)/00 U/0/M Iir a _ll % 17S 1)")' R r 3 f10:, I9r !I :1 n + pAIIJL•IIDIl,1.A 1'% %G,t40 UAIK-.iVI1A I TX %Gc40 110 I'1Sp013S0 t0 c0110Cti0n Off01't5, ) 101 II114. v0lBJ0 IIEVCIu.Y WON' AIN %/31/00 D/D3/110 fl/.:'1101 30"). `77 ' I'/I /L' TF:YASi tfNWL l W1NNIA) I!U Il: o'i. IENION T'% 7 G:!li1 I'C11i1v PAiili GA 30U9t) NU 1'051p01150 t0 collection Offorts, i dOf ?131%1 YD~~//NU. ItN)1L'llf IIUUp HOWNT I1/PD/tID 0/7%/(11 tTL410 C'. .cU -I )VI: NPII III 4 0131 r%FOUI [VI.: Pll+lf f(T J 11J1 I 1)~),I)rj6) rX 71)"t bUNTt)IJ 7% !be^01' IID I'CSpOg50 t0 Collection efforts. .r ~ T()rAI. f1AU IXUT MOTE!-OFF Y1410 111MICIU 91tW 40 i , I 1 I i I i 1 ,I z I ~ I E 't t i y 1 f A ~j I 1 CIIART.TY WRITP-017 LTST AUr,UST 31, 1981 GUARANTOR NAME PATIENT NAME PATIENT DISCIIARnE AMOUNT REASON AND ADDRESS AND ADDRESS NUMBER DATY Candler, Sharon Allan, Rebekah 101-292896 $ 36,00 nalance attar 1329 Kings Row Moddcaid nonton, Texas 76201 Bailey, Jack Same 101-314484 7-22-83. 799.15 11ill nurton Criteria 2629 Carlton Way Oklahoma City, Okla, Dakar, Vincent Same 201-320119 8-4-81 38.00 Denton County Jail Denton County Jail Bartel, Stevan J. ,Same 101-305409 6-24-81 147,88 343.anco after MNMR Rt. 3 Box 318A Her9eahee Lewisville, Texaa Darten,-John game 201-320093 8-4-81 38,00 nonton County Jail Denton County Jnil i Riaroa, William T. Same 102-206078 6-•8-83 67.22 Balance attar M11MR 1810 Maple dD' Denton, Texas 76201 Bullard, Ann S. Same 117-14589 7-8-81 120.00 Indigent Cara 1606 Villega l=ast #103 Denton, Taxes 76201 Burke, Michael Burke, Regana 101-189068 6-16-A1 954.05 Hill Burton Criteria 528 Pierce Denton, Texas 76281 C'01wick., Perry Same 104-14118 3-31-81 523.65 Hill Dutton Crit6:• a _ 319 Hattie Denton, Texas 76201 Cock, Vicki cook,•Joghua 101•-215780 9-2.80 10.00 Balance attar 2405 Shoemaka #A Medicaid Killaen, Texas 76541 i 1 2 allAAANToR NAMr PATIENT NAME PATIENT AND ADDRESS nISCIIARC,f; AMOUNT REASON -RE AND ADDRESS NU~1T;f R DAT I? DeLnno, Janine 5nmo 201-296822 5-•25-8 `.Y«~__._...~.~ __...,._____..w__...,.,..__,........, k; Rt. 1 }lox 271 C 1 $ Arnold, Me, 63010 58,95 Denton County Jail Thomas 713 Ituntiloy Drive Same 201-320580 8-5-81 185,25 Indigent Care Take D411as, Texas 75065 p r°rnnndoz, Peter game 101-318741 8-5-81 2266 West 041t n3 1180,20 hill Outten Criteria E Denton, Texan 76201 0arza, RstfanA Sarno 709 It Rafts 101-29277:1 5-14-81 11,,60 Bnlanco after Hadi- Sann©r, Texas 76266 care & Medicaid ' I Hodge, Eva Same 101-265280 2-18»81 P, O, Box 102 190,88 Balance Deter Nedi- Dantcn, Texas Dare--Patient exp rod no assata Hotchkiss, David r 5049 Roberts game 203-28031.3 7-29-8.1 30.00 Denton County jail Lewiavilla, Texas f Johnson, Caseiuq i j Barre 2061-150060 i 2706 54th St. 7-29-81 38,00 Denton County Jni,~ Dallas, Texas Johnson, Elmo 704 Jupiter Same 101-317123 7-30-8 851,30 1111E ilurton Denton, Texas 76201 rite ip Johnson, Sandra Sarno 709 Jupiter 107-309049 7-5-81 11,187,85 Hill purtan Critoti.a i Dantdn, Texan 76201 Lnndeso, Cryntal S44no 201-3~9541 -5-8 5$Q,A 0 lrea Drive ~ P# 0,0 It~11 1turC4~fl gripqr~6 j T}ia Colony, xexa@ I a . l 1 3 PATTM NAMR PATIENT D19C1lARrt? AM0Ut1T REASOti f;lfARANTOR NAMp. NUMBER DATE i AND ADDRESS Axn AnnR».aS` 102-293282 6-6-81 S 254.49 nalanca n4tor t Lohman, SHMR 1 same Thomas ! 1901 WhiPPootwil.L Denton, Taxaa 76201 2457 101-314799 7-25-81. .75 Hill Burton Criteria , Lustor, Wanda Sama ).225 Tahoe Lewisville, Taxns 75067 205-V,410 7-30-81. 38,00 Denton County 3ni1 ! :lcCnllum, !lobby Same pf Donton county Jnil , nonton, Texas 76201 McNeil, Shawn 201-317438 7-27-81. 51, .00 Denton County Jail McNA11, Linda 4724 Jannin8a Same The Colony, Toxas ?.04-20842 7-15-81. 38.00 Denton County Jail 1'l31oa, Mammoth Samo j 1227 Broadway Donton, Taxad Jail ! 101-2084? 7-27-81 2721.45 Denton County AS3,1,es, Mammoth Same 1227 Broadway ftnnton, ToXnA 76201 + 101.-294297 6-4-81 13.00 Balance nftor Madi- mohon, John D. Rama CA-ro, Madicaid Rt. I Box 30 Aubroy, T°xa9 101-185751 6-20-81 2047.85 (Sill Burton Criteria . Neaoa, Archie 1, Same Box 242 Justin, ToxAA 76247 20265011 7-30-81 45.50 Denton County Jail Same Pri.co, Patricia 301 go MoKinney newton, Taxna 76201 2513-65011. 8-2-81 91.10 nonton County Jail E (?rice, Pntricin same 30~ no MaKinnoy i Denton, Taxas 76201 204»65011 8-4-81. 145.10 Denton County Jail PPtdo, PntxSAma i 301 So McKinney Denton, Toxaa 76201 ! i r { i I I 1 i i r, GUARANTOR NAME PATIENT NAME PATIENT DISCHARGE AMOUNT REASON r~ AND__An_DRE5S AND ADDR1iSR NtIAt1sER DA TV, _ ._.._w_.__..__ . Price, PntrioiaSame 205-6503.1 8-11-81 $ 84,45 Denton County Jail. 301 H. McKinney Donton, Texan 789.01 Roy, ,Terry Same 201-318253 7-29-81 3P.00 Denton County Jail Denton County Jail ti Denton, Texna 76201 102-182667 7-3-83. 1026,35 Hill Burton Criteria Salmon, Clay Same 715 Cordell Denton, Texas 76201 Shrum, James Same 1-25980x, 1-23.81 50.00 Indigent Caro Rt, AA Box 42 nridgeport, Texna 76026 j Sims, 1dnn Snme 101-309526 7.-3-81 30.40 nalnnee after Modi- oaLd Onro Inn of SnnBer Sanger, Toxas ? 9inlclor, Gene Sinltler, Jeff Lol.-315655 7-29-•81. 229].30 11111 Burton Criteria f 106 Avenue 94108 Denton, Texas' 76201 th, Jamoa D. Same 39,20 Denton CounFy Jaij 203-100469 7-18-81 Smi Denton County Jnil Denton, Texas 76201 Smith, Lngeittn 1.-33.7875 1-28-•81 341,25 11ill nur.ton Critaritn Smith, Lorene 925 Scott Denton, Texna 76201 Trlotaoli, ,A].1on Snme 201-32010.1 A-4 111 38.00 uenrnn CrsuntX .fntl Denton County Jail Denton, Taxon 76201 101-7.02(1 13 7-..2^110 1.75.65 111 1.1 Ifue•ton ~.'ritr.rln Vnlonxuela, t'Incxgn Vnlonyuol.n) 5unnll r • nt• 1 A Apt 67 Justin, xnxns 76247 Velonzuola~ Marcos VnJenxuolp, .~uennn 3.02-202093 7-17 al 1a$1.00 Hill Ru1tps} r)kiknkia Julptin, Texna 76247 c r , 5 CUARANTOR NAME PATIENT NAME PATIENT DISCHARGE AMOUNT REA9pN. AND ADDRESS.._ AND ADDRESS_ Y_ `.NUMIffsR __.._.bA1i Vent, Lillian Vardas, Pero, Jr.. 103-70672 6-20-81 $ 10.00 Balance after Modi- 105 Loonard cnid Lawliville, Texas Vent, Donna Vaat, Barbara 101-039200 7-2-91 44.60 Balance after MUMR 404 Leland St. McKinnoy, Taxes 75069 Vent, Donna Vast, Barbara 102-309260 7-29-81 139.99 Balance after WIMR 404 Leland St. McKinney, Texas 75069 Wabb, Cheater Vobb, Leona 102-135889 2-10.81 260,79 dill Durton Criteria i Box 177 Justin, Texna 76247 Wilkinson, C. B. Wilkinson, Loin 104-193185 1-16-81 38.10 Patient nx8irod--14o 309 Loop 280 97 assets. Denton, Tnxne 76201 Willinms, Shirley Snma 102-30080 5-22-81 634,90 Indipont Cnro. 700 Wainwright { I Denton, Texas 76201 Pomoy, Batty Vintore, Timothy 201-314906 7-19-81 89.09 Iddigont Caro. Box 493 Pt,Valla9, Oa. 31030 ?.nhar, 0hnzi Snmo 201-314849 1-19-81 38.00 Denton County Jail Denton County Jail ~ Ijdnton, Tnxns 76201 1 TOTAL $31,779,00 i 1 r . k ' r 1 E r t MI9P8pyy i ~ / SQARD~OF QIRECTORS MEETING _ z 1 bUSiMIESS MINUTES Dale July 23, 1981 r"g' 1 i The Hoard of Directors of Flow Mamoria'l Hospital met in regular session at 7:00 i p.m. nn Thursday, July 23, 1981 with Mr, A. E. Wyatt, Chairman, presiding, Other Board members present were Dr. A. M. Finlay, Mr, Brad Moors, Mr. Gray Shelton, and Mrs, Mary Williams, Also present were Mrs. Wilma Fritz, M•s, Gloria Madewell, Dr. j Arvin Short, Mr, Leonard Watson, and Mr. Richard Harris from M,rvoxig~ny, j The minutes of the previous meeting were presented, reviev7 , and appr New Business: AU G 2 4 19$1 {I Office Building--Mr, Richard Harris, representative of Mel S any, i made a presentation to th`o Board regarding his company's capabi ing a { professional office building/parking garage adjacent to the has .RINed that his company could provide services as contracting engineers, construction managers, feasibility studies, and costs. The Board members asked Mr. Harris to submit o them a written proposal for the preliminary steps which should be taken.-i.e., feasibility study, site survey, etc,--including costs, Or, Finlay emphasized that it is important for the hospital to make plans for future growth of the hospital, Ile suggested that a professional office building might also include expanded services of the hospital, i j including radiation therapy, opt-patient services, physical therapy, etc., as well as retail space for a pharmacy, florist, medical equipment rental, gift Oop, etc, 1 i t l 2gpont--Tha financial statements and Charity Charge-Off List and Bad j Debt Charge-Off List were presented and reviewed. Mrs, Fritz reviewed the Financial Report and noted that the average daily census for the month of June was 84.9--the lowest census of the current fiscal year. She noted, however, that the census for the I month of July has been much improved, The net result in operations for June was an 1 excess of expenses over revenues of $34,342, with year-to-date net result being an excess of revenue over expenses of $268,203, Mr. Shelton commented that the accounts ' receivable had increased, and Mrs, Fritz explained that this was due to the computer conversion at Blue Cross, Sie explained that the hospital has been receiving monthly i estimates from Blue Cross based on past months' averages. The Blue Cross payments to t e hospital have, however, been lower than the past months' averages, and a letter has been sent to Blue Cross this week requesting the additional payments. Mr, Moore moved that the financial report, including the Charity Charge-Off List in the amount of $25 368 and the Bad Debt Charge-Off List in the amount of $70,063, be approved. This niotfon was seconded and passed by voice vote. 1 ~j ounda i e ort--Mr, Shelton reviewed the minutes of the July 9 meeting of the Flow Foundation obFrof Directors, He noted that Foundation had determined to wait ! now to reinvest the $11,000 CD's currently at lower than 9.25% until after August when I the interest rates are expected to increase. Mrs. Williams moved that the Foundation Report be accepted, this motion was seconded and passed by voice vote. Joint Confer once Committee Report--Mr. Wyatt reviewed the minutes of the meeting 1 held on Wednesday, a noted a e committee had discussed the merits of having an office building adjacent to the hospital and the need to continue to improve and update the services and facility in order to remain competitive, Mr. Wyatt announced that the budget had been presented to the County Commissioners, and that he and the Administrator had been present to answer any questions concerning the budget, Dr. Finlay moved that the Joint Conference Report be accepted; this motion was seconded and } passed by voice vote. l Safety ~Committee Report--Mr, Watson read the minutes of the Safety Committee i Meeting_oTTfy a~nd dlS ributed copies of the summary of incident reports for the information of the Board members. Ile explained that one incident reviewed in the ~f minutes had been investigated, and the EEG telephone transformer had been found to be defective. The Safety Committee had examined samples of protective corridor bumpers I r.::: -a:v-v:ri:s:s1^sY:CJt'•-•^"••••:aae:r.~zir<-sr~arr-c»:c iL2r_z-:~etissr-~Ett.""-`-'-"r>=.tta~.~.°..t3zr :Y:usteYata'-:.. „w H.61A puH•urP if„1t0 bU/rr,lu nm, _ Lull, i♦uAl r. BOARD OF DIRECTORS oaf, BUSINESS MINUTES luly 23, 1981 2 which could also be used as handrails. The Board members agreed that it would be beneficial to install protective bumpers before the new vinyl vial] covering becomes damaged. The Administrator stated that he would investigate this, Mr. Shelton moved that the Safety Committee Report be accepted; this motion was seconded and passed by voice vote. Utilization Review Report--The minutes of the June 23 meeting were reviewed. The statistics on he Comm ee's review of admissions and lengths of stay cases were also reviewed. Mrs. Williams moved that the Utilization Review Report be accepted , This motion was seconded and passed by voice vote. Medical Staff Report--Dr. Short reviewed the minutes of the July 20 meetin? of the Executive C~ oa' u ttee. He outlined the current status of the Executive Committee s review of a physician's hospital practice. Or, Short also explained a problem con- cerning surgeons "on call" and what the Executive Committee had recommended for resol- ution of the problem, In response to the OB/GYN Department's request to utilize the Diasonics ultrasound unit with their own interpretation, Dr. Short stated that the Administrator had agreed to determine what could be resolved, Dr1 Finlay asked if the AOR ultraso,lnd unit, which had been moved to the labor and Delivery Unit, is, producing revenue and what number of procedures are performed with the ADR unit. Mr, Watson responded that charges are made for each procedure, and he will compile a record for presentation to the Board. Dr. Finlay moved that the Medical Staff Report be accepted] this motion was seconded and passed by voice vote. j Pediatric & I f t Bronchosc a--The Administrator presented a request to purchase j a Hop ns ed atr c and infant Bronchoscope for the Operating Room and explained the current need to purchase the equipment. Dr. Finlay and Dr. Short added that this would be a valuable piece of equipment. Dr. Finlay moved that the Board recommend to the Foundation Board of Directors that they purchase the Hopkins bronchoscope at the cost 1 of $9438, This motion was seconded and passed by voice vote. i Hos ital Van--Mr. Watson recommended that the current hospital van, a 1974 model, be rep ace d-.4he Board discussed this matter and agreed that another van should be M purchased. It was suggested that bids be solicited from Denton County dealers for a 1982 model van. It was recommended that the current van be kept for use of the Maintenance Department and for times when messy cargo is transported. The new van would become the hospital's official van, with appropriate identifying letters, and with certain restrictions to keep it clean. ICU Monitors--The Administrator recommended that the monitors in the Intensive i Care n e rep aced as soon as possible. He explained that the monitors were pur- chased In 1969 and have outlasted the expected 5-7 year lifetime for such equipment. He stated that the equipment is not reliable and has to be serviced often,, with it ~J becoming increasingly difficult to obtain replacement parts. He recommended that the current monitoring equipment in the Coronary Care Unit be moved to the Intensive Care Unit with new equipment being purchased for the CCU, Dr, Finlay moved that the Board of Directors approvo this recommendation. This motion was seconded and passed by voice vote. Mr. Watson explained that the now equipment would cost approximately $55,000 and could be purchased with the County's quarterly installment which should be received in October. The physicians and nurses involved in the unit will be asked to participate in the selection of the equipment. } ~E~m loyee Renafits--Mr. Watson stated that the Department Directors will be asked 'to rev-fev a`tax-s a tared annuity plan, as wall as a change in the self-insurance 1 1 carrier for health insurance. Their comments and recommendations will be forwarded to the Board prior to any definitive action. t ~l.rr...:eza.:.-.~.-st'=rcr:.:, r.:e: nsr,"asewrw:wyr:;.-n ~esr -ms~nr .-ter ~c~l: a----.sr" r.:--~:r~--~+-sas=•r-•a-s-afrn>afxrsur- ~ '/11Y „r~rf1 Irq nlrl',)fJ iCf IIfil Hill H/.1 /11, 11111V 1,1 BOARD OF DIRECTORS p°9' 3 BUSINESS MINUTES Dete Jul 23, 1981 i TAHGB Convention--Mr. Wyatt reported that four Board members and their spouse had agreed to attend the Texas Association of Hospital Governing Boards Convention in New { Orleans, August 14-16. Mr, Watson asked for permission to attend this convention also, and this was granted. { Old Business: Onilers--Mrs. Williams asked about the status of the proposal to replace the boilers. fir. Watson responded that this is still a needed item; however, until after the budget has been approved in September, nothing else has been done. Bud et >'resentation o City--Dr. Finlay asked when the budget would be presented to th, ty. 9Mr son s a edthat it had been taken to the City; he was unaware, however, at what time it would be discussed by the City Council. He stated that he had been informed by the i;ity Financial Officer that the hospital would not receive the approximately $18,000 this year as had been expected. Or. Finlay expressed his concern that someone from the hospital be present when the proposed budget is presented and also that the City Council be informed that the funds for this present year are.not to be forwarded to the hospital. 3B Furniture-,Mrs. Williams asked about the status of purchasing new dormitory. like furnitu:-e for the 3B Unit, and Mr, Watson stated that this has not been accomplish i yet. There was no further business, and the meeting was adjourned at 9,36 p.m. h t I . Mary Henderson Williams Secretary gm } l ,l t' 1 r ~ ter+b •1! rrniui.,•euru ee.,ttUn,uueeu yyRyWMw*d4~fi7lyy'Wr.w« ._....,..,...:R••...w.... w,~..«.,..«......«,.+n*~ILYR Sr I`' FLOW MEMORIAL HOSPITAL Paget STATISTICAL STATEMENT JULY 31, 19x1 j CURRENT MONTH YEAR-T0 DATE PRIOR Actual Budget- Actual Budget. Year-To-pate Adult Patient Days 3007 2,790 28,826 27,360 28,955 Average Per Day 97.0 90.0 94.8 90.0 94.9 Newborn Patient Days 456 403 3,480 3,952 3,678 Average Per Day 14.7 13.0 11.4 13.0 12.6 Gross Patient Revenue/Pt. Day $ 369,28 $ 294.59 $ 321x65 $ 300,41 $ 264.57 Total Expense/Patient Day $ 291.35 $ 247.18 $ '274.34 $ 250,00 $ 221.80 Months Charity_ bad Debt Recover October $ 28,023 $ 619326 $ 7,I17 November 299827 81,970 61205 December 32,562 66,439 5,249 January 79929 79,034 13,313 February 31,616 100,778 14,073 March 75,735 769609 6,354 A6'r11 230724 66,841 5,007 May 21,359 45,938 81685 f - June 25,360 700063 7,275 July 18 365 -661747 15,151 29 , O8 $704,/ 88,509 % of Revenue 3.2% 7.6% 1.0% i f .AY E r.. .w.+..w-.r .:'1.« •,-^•"'~+-:-'LV2~+w+R:n.•a~e~e.w.-~+!-'!~ans.:~n'•Y1. YrstC.lS' '47SL'•AY?effi"!«~en.....eea..unfisewe... . i t' t• Y rYl " I 14 N q A ( 1 4 i5 ki, rLOWMEMORIAL HOSPITAL I BALANCE SHEET JULY 31, 1981 1981 1980 1981 1980 Current Assets: Current IJabilities: Cash-Operating $ 131,298 $ 165,552 Current Notes Payable $ 133,860 $ 1?.0,037 Interest & Sinking 10401 31710 Accounts Payable 714,129 439,876 i 35,460 17,523 Accrued Payroll 223,261 211,185 Reserve Fund 14,033 91592 Payroll Taxes 113$11 48,549 Repair Fund 173,114 75,503 Group Health Insurance 1,010 1,860 Fees Payable 49228 3,52? Interest Payable investments/Board Designated 171,398-_ ` 212 999 Bond Bonds Payable - " Total Cash & Investments $ 354,600 $ 4115236 Total Current Liabilities $ 1,362,103 $ 898,679 Accounts Receivable $ 2 591258 $ 1'9211158 Liabilities! $ 50,903 $ 41,039 Loss: Allowances 9 213 46_4 Net Patient Receivables $ ;9;Nj5-V5a $ X94 Lo ng Term Notes Payable 3189613 365,927 Bonds Payable 495,000 560,000 Other Receivables $ 1709220 $ 63,769 Inventories 286,685 263,808 Total Liabilities $ 2,226,619 $1,865,645 Prepaid Expenses 55,676 54,033 Capital: Total Current Assets $ 31150,140 $ 21500,540 City of Denton $ 393,165 $ 383,165 County of Denton 1,696,871 1,696,871 Endowment Flow Estate 240,461 240,461 property, Plant & Equipment: Fed, Grants, Hill-Burton 15868,910 118681910 Land $ 37,547 $ 37,647 Pledges andr~Gifts 373,300 368,63) Building & Improvements 31033,7B2 2,9801016 g Furniture & Equipment 4 0G2 176 ~ 3,792,739 Currenl,nYeaBrl " Beg, of Yr. (405,49?.) _ (140f,~65) Accumulated Doprociation ,(„_•3, 767 608 (31.375L9j. i Net Property, Plant & Equip. $ 3,3669397 $ 3,442,462 Total Capita] $ 4,289,918 $ 4,077)357 y ";;I TOTAL OPERATING FUND $ fi, 1G,53~_~_ $,9!+3~OQ2W TOTAL OPERATING FUND Current Ratio 2,31 ' 4W*V#W1M- 1011o 1"M i s- i ~ 4 f L U W M L ft k i N 1 li U 5 P 1 I L Page 4 STATEMENT OF OPERATIONS YEAR TO DATE: JULY 31, 1981 % of Salaries Supplies Total Direct Operating Revenue Revenue Benefits & Other Expenses Profit Los _ 'Daily Hospital Care 20 1,79 ,701 940,958 39;736 980,694 X19,007 Psychiatric Care 6 5599700 230,749 9,051 239,800 319,900 OB/Post Partum Care 5 4449133 127,281 115598 138,879 3053254 ICU 2 201,200 1640117 109201 174,318 26,882 Nursery 3 245,513 103,432 16,112 119,544 125,969 Neo-Natal Nursery 1 123,325 106,174 21830 109,004 14,321 Coronary Care Unit 4 361,359 261,972 285458 290,430 70,929 Labor & Delivery 3 253,757 168,907 435399 212,306 41,451 Operating & Recovery 4 410,921 151,256 102,508 253,764 157,157 Emergency Room 3 3040248 124,306 208,026 332,332 ?,8,084) Central Supply 7 615,652 79,857 229,372 3090229 306,423 Laboratory/Blood Bank 10 900,473 - 416,420 416,420 484,053 Radiology/Nuclear Medicine 8 696,347 156,258 187,384 3431642 352,705 Pharmacy/IV 13 11243,390 97,194 324,843 422,037 821,353 Anesthesia 3 299,262 1090590 76,408 185,998 113,264 Cardiopulmonary 2 201,849 54,125 86,430 1400555 61,294 Respiratory Therapy 5 491,311 106,897 57,159 164,056 337,255 Physical Therapy 1 99 264 53,978 4,677 68,655 40,609 Total 166 $9,291 , 05 $3,037,051 1, 54s612~ $4;89163 4,359 M 2 Deductions of Revenue $ 455,612 $ 455,612 Charity & Bad Debt 897,304 897,304 Employee Health Ins, Exp, $ 208,476 $ 208,476 208,476 E Medical Records $ 2,454 $ 940710 17,072 111,782 109,328 Gift Shop 14,896 15 I23 12$889 2 0 2 13,116 Cafeterld 102,864 241,478 239,701 481,179 37835 Plant 162,016 4521782 604,798 604,798 Housekeeping/Security Service ' 232,168 47,195 2790363 2799363 j Laundry 72,891 23,068 95,965 95,966 Fiscal AffAirs/DntaProc. 77,093 56,999 134,092 134,092 I E _ Business Office/Crodit & Coll. 2089457 101600 310,147 310,141 i Purchasing 15,040 91914 24,954 24,954 Personnel 31,153 23,233 54$86 54,316 Administration 60,170 17,860 780030 78,030 I Staff Education 179397 32714 210111 21,111 General & Administrative 14,819 - 2710866 271,866 2571047 Depreciation 3182t,72956 2 p 12 $(1021 9963) $1,217,102 Gain (Loss)from Operation $39016,457 $(41234j740) 125,40 Non-Operating Revenue 234,487 134,487 E Foundation 46,6u3 45,603 Total 8,313,61-2 ,254,753 1,653,3 ,908, 0 i FLOW MEMORIAL HOSPITAL ; STATEMENT OF OPERATIONS, JULY 31, 19x1 Page 3 % of Salaries Supplies Total Direct Operating Daily Hospital Cure Revenue Revenue & Benefits & Other Expenses Profit Loss Psychiatric Care 1877T5- i07,aG9 $ 35357 TM ,226 7~,Si i Care 6 66,001 265742 500 27,242 38,759 QB/Post r Partum ICU 5 55,200 14,788 1,595 16,383 38,817 Nursery 2 27,775 190388 856 20,244 7,531 Nursery Nursery 3 38,032 11,477 21258 13,735 24,297 Coronary Care Unit 3 30,225 12,649 423 13,072 17,153 Labor & Delivery 3 47,324 27,832 2,151 29,983 17,341 Operating & Recovery 5 34,107 20,468 6,G30 27,093 71009 , Emergency Room 51,465 15,878 14,365 30,243 21,222 Emergency Supply 3 36,343 12,927 20,455 33,382 2,961 Central Supply Bank 7 74,002 9,455' 25,779 35,234 38,768 Radi/Nuclear Medicine y 102`299 - 41,595 41,595 600704 Radiologlogy/U 72,676 15,663 19,619 35,282 37,394 Anesthesia 143 146,625 11,474 34,607 46,081 100$44 Cardiopulmonary 2 40,154 12,957 93368 22,325 17,829 Respiratory Therapy 6 21,744 51530 8,765 145295 7,449 Physical Therapy 61,726 103510 61771 17,281 44,445 Total 1 14 594 5 576 639 6 215 8 3 9 , 10 ' + 6 566,421 Deductions of Revenue $ (41,862) Charity & Bad Debt (91,608) $ 41,862) Employee Health Ins, Exp. $ 13 455 91,606 i Medical 8ecords 361 $ 91701 1 319 $ I3 455 13,456 020 Gift Shop 19546 2,225 2,182 14407 10,6&9 K Cafeteria 2,861 Plant 10,915 26,907 235589 50,496 39,581 Housekeeping/Soc~~rity Service`s 11,373 56,150 73,523 73,523 Laundry '26,808 4,099 30,907 30,907 Fiscal Affairs/Data Proc,~~~~ ~~954 9,932 9,932 Business Office/Credit & Coll, 16,940 16,940 Purchasing 21,880 18,907 40,787 40,787 a Personnel 3,423 1311 3j494 3 494 Administration 6,201 334 64,734 4,734 Staff Education X,x35 6,535 a Qeneral-& Administrative 1,i329 31 1,860 1,860 Depreciation ©2 - 33,170 33,170 32 ,1.88 33 903 33 903 33 903 Gain (Loss) front Operation r~~"~a,I`" - Non-Operating Revenue 21,384 11;692 Foundation 21,,,334 E Total I 1 i i r wan= 41- ""a if Fi ~ri: Min 1 BOARD OF DIRECTORS MEETING BUSINESS MINUTES Ua10 3x14?31-y.- - - - The Board of Directors of Flow Memorial Hospital met in regular session Members0 p.m. on Thursday, June 18nlay81hlritRalph Havenhlll lMrChGeomge,Hpjesiandglhr, Gray present were Or . A. M. Shelton. Others present were Mrs. Wilma Fritz, Mr Gloria Madewel1, Dr. Arvin .Short , and Mr, Leonard Watson. 1 r' ~l ~l The minutes of the previous m e e nd approved as presented. Old B__ _ users: None ,JUL ; 7 1981 New8_usiness: CITY OF DENTON Finan mmi tee s ort--Mrs. FriWN1~;;`1 w&YFt*i financial statements for the month t ay an noted trial the average daily census had been 92.8. She explained that the percentage of write-offs to revenues has decreased from 121&% in 1979 to the current 10,4% rated with the charity Mrwrite-off forthMay at the Finance being 21,359a nitthe bad Roper debt write-off for May being $451938. be apand proved I including by voice the financial statements and charge-off lists; this motion was seconded Rf et Ca llttee R rt--The Administrator reviwed the minut reporthewJune had I meeting : t e a ety omm tae and outlined the types of incich 1 been reivewed by the committee. Dr, Short added that the committee had been asked to prepare a report comparing the incidence of medication errors to the total number of medications given in a 34-day period, He added that this aldditional moved nformation would better help them to evaluate the incidence of errors. Safety Committee Report be accepted; this motion was seconded and passed by voice vote ,I t fir. Utilization Review Committee Re ort--The minutes of the May `28 meeting were pre-We ff sense an vhadabeen reviewedr eMr. ca and Shelton move ssions mi hs stay cases mittae Report be accepted; this motion was seconded and passed by voice vote. t G Dr. Short reviewed the minutes of the Executive committee o the Me oa to an reported on their erecommendations to the nActive ow andMedicnlpolntments-. Staff; 1,e1, Franklin Jeffrey C arney, M, I t In internal i Patel, MID/ appointment to RN, appointmen n nternal medicine, hamato~ogy g to the Allied Health ProfessionalsandStaffoncolwio th y; and Judith Sal privileges as a Physicians Nurse Assistant. He explained that the Chief of Surgeryy had received a written request to review some of the surgical cases of one of the physicians and that aShortial meeting of the Executive Committee has been scheduled for this purposes 'ing that the medical staff cdesignatedtto thektrdisaster iage drill ;n d by providing fourteen physicians h sicians in medico-administrativ amendments o the Medical Staff's Bylaws concerning p y positions and oral surgeons applyrngStorperform histories and physicalsM(see attached) were presented and explained y D Report, ineludingetdhethisamotponiwasioecondedthedtposamendments t vote ,Medical Staff's Bylaws, be app o f strator's Vacation--Mr. Watson announced that he would be on vacation June u y ur ng hat time he will ask Mr. Grant, Mrl Johnson, Mrs1 Fritz, dewell to handle any problems that arises Lnd l1cation to move the Home are Ser 1 es--Mr. Watson reportyted that the app as o oed to thenTe asoHealth Faci~ibiss Councl en submits n114e1ru.l,t. ' +sllit IA rl' Otto Alto to idt rJ It I4011 ~.r „....er.n.aauaUt1eY11~r~},1Q/,{ [ ~l 1&jt'+a11' BOARD OF DIRECTORS BUSINESS MINUTES Vats ~up~~~981 _ P°9• Re-furbishin Pro ect--It was announced that the vinyl wall covering bra~a~t in the corr ors s now complete, as well as the installation of the new drapes in the patient rooms. Professional Offic Buildin --Mr, Watson reported that he had contacted the eirm of Mel 11on-Stewart regarding a feasibility study for a professional office building, Representatives from this company have agreed to make a presentation to the Board of Directors in July. Health Maintenance Or anization--A proposal from North Texas Medcare, Inc. to contract as a part cipat ng hospital in their health maintenance organization (HMO) was presented. Mr, Watson explained the .;oncept of HMO's and how the hospital would be involved. This was further discussed, Mr, Havenhill moved that the Board of Dire o accept the contract as presented; this was seconded and passed by voice vote$ Swspense Litigation--The Administrator outlined the cases that are pending. 12991~-.822 Budge -The proposed 1981-82 Budget, which had been distributed to the Board members one month prior, was discussed. Mrs. Fritz and Mr, Watson explained the highlights of the budget and reviewed the steps taken in preparing the bud at, It was noted that the budget is based on a projected average daily census of 99 patio s and an increase in daily service char es, as well as $666,000 devoted for capital equipment expenditures. It was explained what steps might be taken to reduce the ,expenses within the budget if the ppatient day Projections fall below 99, An overall 7% increase in salary expense had been included in the budget. Mr. Watson explained that in order for the proposed budget to be accomplished, an additional $3470000 in cash would be needed. Mr,_Hilz moved that the proposed budget be approved and for- warded to the City and County for consideration.$This motion was seconded and'passed ,by r voice vote, The Board members agreed that a 200/month car allowance for the ~ Administrator should be included in the 198182 budget, ltond range,Planajnq.-Mr. Havenhill suggested that long-range planning be I studio or a hospital. There was some discussion concerning the possibility of municipal bonds for future needed improvements to the hospital and additional requipment or for the building of a professional office building, The Administrator stated that some major air conditioning repairs will be needed in the next 2-3 years, as well as t e replacement of boilers and chillers, Mrs. Fritz added that a k pro,iected five year equipment list prepared by 0 e department directors is on file in 'hler'office and was used in the preparation of the budget, Mr. Watson stated that he had been contacted by a hospital that would ~nstall their used CT scanner in this hospital for a certain percentage of revenue produced by the equipment, He stated that in anticipation of this, he had filed a letter of intent with the Texas Area 5 Health Systems Agency for approval. i The Board agreed that the Administrator should pursue this possibility and report back to them specific information gathered$ There was no further business, and the meeting was adjourned at 9:46 p.m. E Aa Z Wyatt Chairman l I j and Acting fecretary r gm ..rrl +r-+e.u a S H 1k Y.l 11 a.lll111M. Altai$ CO. ItARIV, 1ula011 H18tH U 9.1.1. n..vrc.r vrw.(aWfYpiFY\wrYr Fin Jil YaYry\Y6 y11.Y 1J44ifu.NVtNttY tn4 h:1??wat i.?'31MNIR.YYfi,1:1NStlIPrr.Irfrv`YM.,.AVtf H;fp'I'Y.{r't M..1`IxvK If. YVti rs-r. ter. Irv....: ri r-...... - ..«4~~' 1 `r FLOW MEMORIAL HOSPITAL BALANCE SHEET JUNE 30, 1981 - Current Assets: 1981 1980 Current Liabilities: 1981 1 Cash--Opera 0 ng $ 133,519 $ 90,732 Current Notes Payable $ 138,174 $ 120,977 Interest & Sinking 1,400 357 Acrounts Payable 636,343 386,329 Reserve Fund 35,213 12,524 Accrued Payroll 2355366 166,862 Repair Fund 14,033 99204 Payroll Taxes 60,551 122,830 Group Health Insurance 850 2,321 Fees Payable 131,344 74,089 Investments/Board Designated _ 171,398 212,999 Bond Interest Payable 874 175 Bonds Payable 59000 Total Cash & Investments $ 366,413 $ 328,137 Total Current Liabilities $ 11921642 $ 876,262 Accounts Receivable $ 21256,790 $ 1,992,390 Other Liabilities: Less: Allowances 2 286 975 (213907 9eferred Income $ 76,354 $ 61,668 Net Patient Receivables $ 1,9i9,t1T r $ T;1781A Long Term Notes Payable 328,476 301,335 Bonds Payable 4961800 665,000 Other Receivables $ 180,774 $ 980220 Inventories 280,906 222,769 Total Liabilities $ 2;Gh`a,471 $ 1,794,165 Prepaid Expenses 62,870 60,181 Capital: Total Current Liabilities $ 2,860,778 $ 21437,780 City of Donton $ 3939166 $ 393,166 County of Denton 1,696,871 11696,871 Property, Plant, & Equipment: Endowment Flow Estate 240A61 240,461 Land $ 37,647 $ 37,547 Fed Grants) Hill-Burton 1,868,910 16868,910 Building & Improvements 3,033,781 2,983,746 Federal Grants 266,371 256t371 Furniture & Equipment _0661600 3,676.701 Pledges & Gifts 373,300 368,371 $-7,5 V697994 Gen, Fund Dal., Beg. of Yr. (944,662) (1.153,821). Current Year 268,203 371,312,,. Accumulated Depreciation (3,Z33,606) _(3,349J79) Net Property► Plant & Equipment 3?,, 3 3 ,416 Total Capital $ 416-2,-629: z 4,041,640 TOTAL OPERATING FUND ;,AA.5. 10 0 5 823 795. TOTAL OPERATING FUND -0 5,1 0 $ 5,838,2 95 i Current Ratio 249 q r HOW% Page 2 r 0W M,EM0RIAL H 0 S P I T A L S'T'ATISTICAL STATEMENT JUNE 30, 1981 I RF. NT_M~~drH YEAR - TO -D P R10 Actua~~- uua~Jet c -(-u -81 ucgot fear-~oate 2,50.6 2,700 25,805 24,670 26,304 Adult Patient Days Average Per Day 84,9 90,0 94,5 9010 9510 381 31549 3,028 31549 3,271 Ne Patient Rays .1z 7 13.0 11,1 13.0 1119 AvernragePer Day Ave ' Gross Patient Revenue/Pt. Day $359,26 $ 304.41 $ 316.27 $ 301,07 $ 263.18 I Total Expense/Patient Day $336,34 $ 251.58 $ 272,5: $ 250,32 $22072 i ' Month GhArity lad Debt Recover f October $ 28,023 $ 61,326 $ 7+1',7 November 29,827 819970 61286 32,662 56,439 61249 January December 7,292 79,034 130313 Febr+aarY 31,618 100,778 14,073 March 6,354 75,736 76,609 t . 66,847 6,007` May June 11 21,359 46,9033 8286 2538 $ 739358 1,0$ % of Revenue 3.4% 7,8% b~ S I' i i f ' i r . 4 FLOW MEMORIAL HOSPITAL Page3 STATEMENT OF OPERATIONS/JUNE, 1981 % of Salaries Supplies Total Direct Operating e enup Revenue & Benefits & ter Ex en s Profi Loss Daily Hospital Care 19 Psychiatric Care 6 170o $ 103, 55~ ,6 a24,406 1 ~0~6~6, 26,462 30,236 OCUPost Partum 6 44,908 16,029 1,001 16,030 28,878 2 20,100 18,640 11000 19,640 460 Nursery 2 21,661 10,404 1,768 12,172 9,489 Neonatal Nursery 3 21,900 11087 .371 11,868 16,042 Coronary Care Unit 3 29,150 24,269 31608 27,867 1,283 Labor & Delivery 2 19,994 10,056 41123 22,189 (2,196) Operating & Recovery 5 469308 14,492 11,236 25,72$ 19,680 Emergency Room 4 36,068 1i.053 20,643 34,596 1,462 Central Sup 1y 8 67,928 8,,:0?. 29,143 37,346 30,683 Laboratory/ Mood Bank 10 92,823 43,302 43,302 49,621 Radiology/Nuclear Medicine 8 72,490 14,486 I9,940 34,426 389064 Pharmacy/ IV 12 1099413 100834 36,864 47s698 61,715 Anesthesia 3 30,706 10,071 7,694 17,665 13,040 Cardiopulmonary 3 226763 61163 9,311 14,464 8,289 Respiratory Therapy 4 36,779 110132 41789 16,921 30,868 Physical Therapy 1 7,852 346 4Z5 20 032 T 912t236 ~ 3199Z37 199,934 519,171 $ 393- Deductions of Revenue $ (42,370) $ $ $ $ 421370 Charity & Bad Debt (90,707) 90,707 Employee Health Ins, Exp. 36,364 360364 36,364 Medical Records 359 99647 1,987 11,634 11,176 Gift Shop/Grounds Maintenance 10606 2,066 1,410 3,466 (1,862 Cafeteria 119568 26,149 23,096 4$0244 361686 Plant 16,621 67,271 72,792 72,79 Housokeeping/Security Service - 23,496 6,712 29_,207 29,2Q Laundry 6,463 60396 11,869 11,859 Fiscal°Affairs/Data Proc, 7,740 10,669 18,409 18,409 Business Ofc/Credit & Collection 20,443 70811 28,264 29,264 Purchasing 1,624 1,267 2,791 21791 Personnel 3,328 2,742 6,070 6,070 Administration 6,241 31068 90309 90309 Staff 4ucation/Quality Assurance - 19749 66 3,814 1,814 j General & Administrative 7,407) 249206 24,806 24,618 Depreciation W19113 TT ~ Gain (Loss) from Operation 19 64,061 Non-Operating Revenue 25,396 26,396 Totadation 4,313 8 1 98 442,493 413 832 8 r i I 1 FLOW MEMORIAL HOSPITAL P6964 STATEMENT OF OPERATIONS, YEAR-TO-DATE, JUNE 30, 1981 Z of Sal4ries Supplies Total Direct Operating R6V0nue., Rovenu6 Benefits & Other Ex ensas Profit Loss) baily Hospital Care ~"2.0." 1;612,6.56 $-`"'8'S3;Oi3'tT $--36;3'80 F 866";468 ;I6 sychi'tric care 6 493,699 2045007 80561 212,558 281,141 DOOR Partum 5 388,933 112,493 100003 122,496 266,437 2 173,425 144,730 9,344 164,074 19,351 uNsery 3 207,481 91,955 13,854 105,809 1013672 Neonatal Nursory 1 93,100 93425 2,407 96,932 2,832) Coronary Care Unit 4 314,035 234,139 26,308 260,447 3,680 labor & Delivery 3 2199649 140,439 36,769 186,208 34,441 Operating & Recovery 4 359056 135,378 889143 2230521 136,936 F; Emorgency Room 3 2672906 111,379 187,572 .298,961 (31,046) Central Supply 7 641,650 70,402 203,593 273,995 267,665 ~Oorgory/Blood Bank 10 798,174 374,824 374,824 423,360 adioTTOgy/Nuclear Medicine 8 623,671 1409596 167,766 308,361 316,310 Pharma y/IU 13 I M61766 85,720 2909236 376,966 720,809 Ahesth`'sia 3 259,108 96,633 67,040 163,673 96,436 Qardiopulmonary 2 1800104 48,694 77,665 1260269 53,845 RespleA tort' Therapy 5 429$86 96,387 $0,389 146,776 282,810 physical Therapy 4,§7Q 402 8 52 440 230 Total 3~00 - $ 8914 ,067 , 793 , ~63 1,6 , 2 T-4135017 3 19 Deductions of Revenue $ {413,696 750) $ $ $ $ 413,760 Ohari @q` & Bad Debt (805, ) mploybe Health Ins. Exp,' 196,0'20 1950020 195,p669 20 edical Reco;Js 2,094 852010 16,763 100,763 98, Gift Shop/Grounds Maintenance ' 13,351 12,898 10,707 23406 10,284 Cafeteria 91,949 214,671 216,112 430,083 J38,734 3 Plant 134443 396,632 531,275 ( 31,276 Housekeeping/Security Gurad 2050369 43,097 248,466 ((248 466 laundry 65,267 20,766 86,033 (86033 Fistal Affairs/Data Processing 69,107 48,045 $17,162 (117,182 Business Ofo/Credit & Collection 186,677 829783 269,360 (2690360 4 Purchasing 13,606 7,955 21,460 21,460 Personnel 27,729 21,923 49,652 49,652 Administration 63,969 17,626 71,496 .71,498 1 Staff Education 000.ral & Administrative 1383'7 15'568 3'682 19,260 19,260 Depreciation ' 238,696 238,696 24,859 i 394 7 `394 j . ,084 , d 091 2688 ~ M 7M 11 r597 294 0ain (loss) from Operation ' ' ' ' Nonoperating Revenue 213 103 11 ,103 ,103 Foundation ' 41.290 41,290 Total L3 1 Al 7 FLOW M C M 0 R I A L HOSPITAL Page6 SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS JUNE 1981 Current Month Year-to-pate Beginning Balance $ $ 82,379 $ $ 229839 Cash Received from: Active Patient Accounts 790,184 6,697,310 Bad Debt Accounts 71275 73,303 Cafeteria 12,166 96,162 Appropriations/Donations 1849920 other 902999 w 364,852-_ 624 Total Cash Available 704Z9 1 376 7 0 Cash Disbursements: Payroll $ 343,863 $ 3,084,219 Payroll Taxes 49,904 431,857 Patient Refunds 14,300 201,839 Capital Assets 160620 230,823 Notes Payable 14,746 96,992 Other `Ail 6, 66 3,261,631 Total Disbursements 60 988 $ 797061 Cash Balance $ 1329016 $ 132,015 Cash Investments 1711M 171.398 Total Cash Gross Patient Revenue $ 927,669 $ 8 1499433 Less: Allowances 6 1 482,736) Net Patient Revenue , Cash Received on Patient Accounts w 7900184 st6,697 310 1 Loss, Patient Refunds _((~qx 0 201,'8INet Cash on Patient Accounts $`'~15, d,d Cash Received as a % of Revenue 88.0% 84,7% 1 i i ` I~I k 1 y i I n9d 6 PL0W, MEM0RIAL 110SP I T A L AGED ACCOUNTS RECEIVABLE SUMMARY JUNE 30, 1981 p,1oI~~P~urr _ Current_ 60 61-90 91- L_ 20 _ 121150 ~ 150+ _ Tota.l_of A Medicaro $ 332,164 $ 222,076 $ 86,430 $ 309360 $ 289 $ 22,846 $ 694,173 31 % Medicaid 45,967 69277 1,927 6,362 100201 9,886 50,620 ' 2 % Blue Cross 83,921 32,387 69126 41539 824 21113 129,910 6 % Corrmercial'Insurance 248,950 101,152 55,142 61906 69747 18,919 437,816 20 % Self-P6y 354,166 95,424 90,003 40,642 203916 109,900 711,051 32 % Balance after Ins, 76,705 __33,075 42,224 21,986. 13,011 29,381 2169381 9 % 46 $ 21239,951 100 am 1 0 002, 61x988 9=310 I 1 111 873 X4909391 L= L In-House 382,104 j Advance Medicare (8671731 f E Total Accounts Receivable X2,264,324 A/R by X 49,6% 21,9% 12.6% 510% 2,3 % 816% i Number of Accounts: 8,622 I Days of Revenue: Acco#ts Receivable 6311 Totalhouse , 12.8 t k I 6 111 'S' 1 I I` r rp kq~ ~ Sl fit. A 7 1 u fl ~+lt~se~, l Fir' yGir~. r un,e a/avia~ is o/: FLOW MEM0R I AL H08P 1-T AL PACE • , . DAD DEPT TRANSFER REPORT FOR PERIOD 6/01101 THRU 6/30/01 r PATIENT NUMBER pI M~F Fi YM11 PAINNY NAME b#*in**** ukxwn+txx GUARANTOR NAME +rannuaaa PpATE DAJE 11Tgg OP BALAtdCE PAX NUMBLR NAME. ADDRiYi ST, ZIPNAME, ADDR, CITY ST, ZIP ADMITTCtl DISCHRpFD WnIT. FF OP' Y...NY ACCOUNT r ruJJrYrY., YY ryYJJrn uY... M.. rr...wr YY MJ ww1YJyJ rYrJrrJYJrY ur....uurr .w.., wrVMr Mw rYr..NY U.. YY COVrr gg gg MV 201 07010 Af51/DM10TH ';RLRf26 ANGELICA h10ITH 7RLR 26 ' ANOELICA 2127/01 6/26/01 57. 10 i' DENTON TX 76201 DENTON T% 76201 Patient roturned to Mexico, 203 22264 RpQHIE MICHgELL9 ARCH PREDDIL 11/11/80 6/06/01 94,SI a ~MRpNHALL g16n2 T4JU TXA 76201 MARLI{, F'jNfJLTY TX 77777 001anCO after insurance; no response, 202 26822 A11SM8NEg U9T CAROLINA A6RbIJMROUTI~WwEgBT 67 STEVEN 2/26/81 6/26/01 06,00 RNT0N TX 76001 ~KLAHpp0M'A C1Y OK 99999 NO rospoas0 to C011OCtion efforts, 201 25895 ARNgjPENT , BRANDY iAR110NpOI,KQNY BRANDY 1/21/61 6/26/81 69.00 WNLBVILLA TX 76240 ~P O ORILLE TX 76040 No response to collection uffoets, 201 21409 40COCK ~ JAMES RTDCOCK JAMES 8/x7/80 6/24101 67,73 ANNA1 T% 77777 ANNA TX 77777 No response to collection offorts, 203 19055 ~AKEIRBDX DOC K$V1N RDpTAKEIi , KEVIN 1/16/01 6/26/81 142.00 O7YNDER AApp TX 76059 P JEROX 880 ll TX 76299 No response t0 collection efforts. .04 16706 LAIN;9TSAK' HAVEN 1"BTDL T DAYJNI5TLAK$ HAVEN h8i*A RY 2/14/01 6/26/81 100.00 L 1 Alh8 {.Orr 39 ry i LAW,t DALLA T 70063 AFE DALLAS 7aO60 Arrengomentt not kept, 201 27060 AANERYµµA RD APT iOYASON A NCS JIM 3116/81 6/26181 30.00 ARROLLTON YX 70006 A ROkFLTONRD APT 161 TX 75006 r Unable to locate, 2/12/01 2/15/81 6/06/01 1049.31 103 10270, RJAN 175 JENT%F&R 7daa7 01 nBNEYOX 174 CHARLES 76n^27 f) gp y Arrangements not kept, 201 27164 HT%~8dOX 265A , BODDY HX640X P65A Don" 3/03/01 6/76/81 40.75 j AVO BY TX 76267 AU911AY T% 76267 No recponso to collection efforts, 202 27164 p 9 ~D UYOX 260A SODDY gpAX SyOX 265A BOBBY 3/16/01 6126/01 67.50 AUD FY TX 76267 AUD MY TX 76267 No response to coiloation effOrtt, 201 26826 , 7~1Y~fN11~TTIA , ANOTXA 76201 bU TONH8YTIE ~ AN7%LA 76201, No 2/21/01 6/24/81 osponso to Collection offortS. 74, 10 1 IOl 22426 11CCKHJM MN OX 171 00gYX 76255 C NAO% 171 , JAYX/ 76200 No/rsponso to collection efforts, 23,50 t ~ t 1,f s i f , DAYS 6/30/0I 0:57: F L 7 N M E H 0 R I A L H O S P.1 T A L PACE 2 r DAD DEDT TRANSFER REPORT FOR PERIOD 6/01/01 THRU pb/3g0/8L r ppYt 4T~1 HoER a*wa**~} ww PArrttgqNNT NgqME awwaaad** ##•**wwa 0 'ANTRA NAME ******N* ADMC?TED DIOCHIE0 DORROFP OPBAACCOUNT' Y~ I~PR h1VNDER NAMES ADI) t CSTV, B7. TIP NAMC, AODRi CITY. Ti 21fl - g 201 24027 OLCH£R , CNR1f R7~g3113RLOCUgT ' DOn 11/17/00 6/26/01 27.10 DEN7pN NIO14 TX 76,201 Arrangemonts not,kept, 3/09 N LOCUST , TX 76201 DV 201 21030 ELL YANET19 DELL PARA 2/21/01 6/26/E1 36.00 04 0 RUDOCLL 045 204 S RUDDL'LL 045 CNrON T% 76201 DENTON TX 76201 No response t0 collection effort, 5/l7/00 6/26/61 43 00 201 10024 newlETT ?g DFNNCT7 JR14 N, 0 90X 707G NT tlYATI ud`! N. p. 11UX 7071 NT ST., Y DENYphI TX 7G203 DCNTON YX 76203 NO r@Spons@ t0 C0110CtSOn @ffOrts i 101 19766 itlISKLER YVONNE ITC"LER YVpNNC 7/07/00 ,7/15/00 6/26/01 2511,48 , pG+NU EENLCE Y% 7620L sp1RRi NO Arra omionts not kept. 212 25520 LACK RANDY ((3LACK RANDY 9/24/00 6/26/01 40.00 1110 MCCOTIMICK 7110 11000RHICK € ENTDN YX 76301 DENTON TX 76201 No rosponse to Collection offorts, 1/10/01 6/26/01 38.100 { 701 213565 IILA¢pON INOAMP DAVID No response to collection offorts. ' RTN¢r DO% 130 TX 76201 DE 161 73091 BLUE KATHLEEN ME EDWARD LEE 1/27/81 1/20/01 6/26/al 1333 35 qq 032 16 p CARROLL 032 16 S CAR80LL MTON TX 76201 DCNTON YX 76201 Arrangements not kept, 201 16351 pn%M;rR CHARLYNE L~%I~Ud02 RON 3/29/00 6/26/01 69 28 DCX 032 7X 76201 DENTUN TX 76201 No response to Collection efforts. 601 26111 pO O~ , CURT19 30 ON CURY10 tr q/01 2/02/OL 6/2b/Dt 3407 83 q HLRAINO AYE fl JON AVE I~V NO TX 750bt IR ]NO TX 76061 No response to collection offorts, ! 6/21/01 103.40 i I 203 26574 POUNDI i >,7GDY b{1VNSDUOk 16 : OODBY 2/21/01 DENEN70 ONN 410A p TX 762OL PONDER TX 76299 No rosponse to Collection efforts, 699.30 102 10611 BOWD~CcN DOa g09Wy1)ff{,',1RGLEVIEW DR DON 1!/27/00 la/01/00 6/26/1f1 HJRE7IRCLCVtIW DR TX 76055 ~,HvttUR0g7 qq TX 76055 Arrangements not kept, ' TX 76801 LWSBVJLLG£1 Aa4 II8~%Ng 7~pb5 ll/OD/QO 6/96/0t 40,50 201 231x4~NIV1L~ 68 JULIA 1.6 ne$ ap tlx wW No rosponso to Collection offorts 201 26206 RJA~OHp~ Lot , KPVIN 71201 D~NSON ion RAYx 76301 No/ 1/else to co11@ctlon offorlsOS 91,%8 ,r f I 3 1 r 4UW MEM0R I AL H081, 1 TAL PAGE 3 ( DAD DEBT TRAN9KCR REPORT POR PERIOD 6/01/01 THRU 6/30/01 II PATIENT NUMDeR PAM70T NAMR rur*e*ww* 40*"urr~a OVARANTOR NAME auMnwaa* DATE SAYE DATE OF BALANCE FX ' NVMUER NAME, ADDR, 7 ST, ZIP NAME, ADDRi CITY, fr zip ADMITTED DIOCHAROED WRITEORF OF ACCOUNT 1 Y,.u ..,Vrrw Ywrraw----rrrwrrir VM VU,i iYMryuY ri YyrYrY r~r rrriwrwYUwr YiMrrrr wYrw rrrrrr 2 wurr rr rrryy..yyurY 74671 RnAO2INOTON DONNA qAetNNOYON , MIKE 1/09/01 6/26/Ol 96.90 1 T T t1Ox 1176 76201 E RT 2 DNTON OX 1176 303 TX 76201 No response to collection Worts, M c + 26205 Em DEN il 6 ON 3 GABLE TWIN MHP YX HACL LO{NTdN3 SABLE TWIN,MRPXXAND76201 1/3l/O1 6/26/0l 30, 68 1 DCNTON 7X 76201 b No response to collection offorts, 203 0763 BOOC RUODELL 0166 DORREEN RO~DY RUDDELL h16O' ETHEL ll/16/00 6/2^6/01. 09, 4b DENY N T%• 76201 UNTON TX 76201 No response to collection offorts, 102 20150 1p1ROOKD , TAMARA R1R27KFi KELLEN 12/04/80 18/06/00 6/a6/O1- 46.00 pILOY POINT 7X 76250 1117 POINT TX 76250 Dalaace after insuraneo, no response, i 201 16364 nROWN , APRIL ROWN CAROLYN 11/!0/80 6/26/01 164.178 1tNftN2 ALEXANDER 7X 76201 IAN O HICKORY 104 TX 76201 NO rosponSe to Collection offorts. GE 0 NEAR O 201 23694 UNT81480 YH CAAROL40UYTX 76201 ITAOE ~ WATXC 75040 11/07/80 response to Collection offorti. 43.6O . 101 23894 RIO D CK , INF F UCK JOHN 1/19/81 1/20/01 6/2 OX 09A DOX 09A 6/81 337.05 TX 75034 F>i18CO TX 76034 Arrangements not kept, R 1R~ 201 28279 2917'HUGHSS r VAN7X 79110 JAARTU UGHEB VAY%E 79tf0 NO/response to Co110Ctton offortS01 96, J0 it AMAR L 1 101 26169 HAT , WILLIAM SHAT WILLIAM 1/89/01 2/03/01 6/26/01 9l9,5 C { 1 EMERSON DJ1IM5RSON i D N ON TX 76201 DN DN T% 76201 No responuo to collee00n efforts, i, 102 10469 J1JSe PAIL , HARLEY i1~9P14LL EDWARD 10/06/00 10108/00 6/26/81 20,00 NT TX /6201 DENT N T% 76POI No responso to Collodion efforts, f, 202 26473 p A n 614 DUANE 1AtR1 X 614 06RALDINE 2/27/81 6/26/81 219,00 DENTON TX 76201 c~DO~N& YX 76201 No response to Collection efforts. 201 43196 fi q&ATT1MORE ' DANTXL 76201 D❑GN ON4ATTIMORe DAT%EL76R01 140 /r SponsQ t0 cQl,leeLlon OFFortSQ1 36 3ti 1 203 16980 219'BAYAN M4 ALFTXG 76201 1LOTAPOINY BUTxY 76208 Movotll/81ePt no address, 6/26/8i 47,50 % t } 1 !MONO w"mm"wom ;1 i IE wool DATE 6/30/01 0: 50: F t. 0 IJ M L" M O R I A L, 11 0 0 P Y T A L YAOC 4 DAD D110T TAANGFCn RCpoilT FOR PCinIOU 6101101 THRU 6/30/01 PATICNT pA). DCfI uugMkkHMMx PATICNY NAMC kuk kilp kqk M4up gpgq Q Af1ANTdit NARC *0*0*0** Prx Nl)M1)LR NAMP' AN I CTYi 0T, [IH NAME, ADDR, CITY] BY, 711 ADMITTED DIUCHARGED WR I 1 IIt1.p 0A~ANNI. i T ^ OF At.i 260 070C CUI'Ipl"It IIWOARa Cf1i ;H , HAYWARD 1 I/:10/00 6/26/01 2747. 90 1004 IICLD 10, -1 li D'NIIRJ AX 76101 01'.NHiN TX 76801 No I'PSpn115u t0. col Icc Lloll pi U702 C'00111"11 , HAVOARD COOPLN HAYWARD 2/23/01 6/26/01 lO;m NGI:D 10;.4 HLLD 37, 40 DINION TX lb201 ut:Nl'ON 7X 76201 No rospons0 to colloctfon ofl'urts, 201 20591 Q6NII"0RD uAUL CRANl:01tD PAUL. 4/19/01 6/24/01 9D, 50 M AMOSC:Y046 104 N MAJ :Yn46 OIUN 1X 76201 DFN(DN YX 76POI MoVCdt left no dddrC85, 202 2406 19~ftI!'w VIRO)NNIA CDIEP V1110INNIA 2/02/ul 6/26/01 50.00 III .'1 N WOOD 01.1. 14 WOOD DUNION YX 76201 GLiNTON TX 76201 NO response to colloctfon efforts, 203 23046 L'RI."O r WILLIAM Iti£0 WILLIAM 11/00/80 6/26/01 104.00 OPNL AL Q,LIVU,Y IINERAL DELIVERY ORANOCRL ND TX 77302 RANOURLAND TX 77308 NO response to colloctfon efforts, 202 227452 DAN'I90 OAYLA DANIELS RICKEY I1/00/a0 6/26/01 100.00 RT I OUX 00A DOX 454 AVDRGY TX 76227 Kt.U,h TX 76249 edlance after lnsurancel no rusponso, 202 9054 IIU J3H1lNY PIT JOHNNY 9/18/00 6/29/fal as, 05 W[ LOT 6J DEN T♦4 FT I LOT 65 DEN TR DIiNYON TX 76201 DCN1'ON TX 76:01 No response to col10CHOn efforts, s90 9054 DHVID JOHNNY DAY] JOHNNY 10/28/90 6/29/01 '17,60 1021 MANHATTAN 105' MANHATTAN VEN UN TX 76VOI DENTON TX 76201 No rosponso to collection efforts, 199 60037 DtiCKCR V, 1)tiCKG1t RICK 12/26/74 1/01/77 6/27/01 174,91 It' I OUY, '17-11 7427.^, VIL"TY VILW YX 76272 NO rbSpunso to Colloctforl offortS. ' 201 94903 At!> N i DCnRA ti F.N r UZORA 12/21/00 flC'~'i) RQYINIAON ~uue U L'OYdO7dN 6/30181 444, 45. I, VALLEY V12W T% 76272 VALLEY VIEW AX 76272 ~ pg Unable t0 locaf4, j 201 26650 g8l t-:3N4d 03~EVaNB 3S aTACRY rL8O 0 8~C~VtiNS gThaU3;ANK 2/10/01 6/26/01 39, 60 LQhft DALLA0 TX 70065 AKE UALLAI YK 73060 No response to collection efforts, 501 29044 11 C E i NANCY 81090 NANCY 11/12/60 11/17/90 6/626/01 407,60 IIF31HI1"co T?f 76034 rRIUCO TX 75034 614nco aftor lmurancet no response, r. 101 23738 Inu1baloL~ljBEY ttNNN(~lt{ r UANt>iA tDlb6Gt~aaY YYqqNN IC i LUTHER 11/14/00 11/19/0() 6/04/a1 190, b0 f CAINEBV~Ll.6 TX 76040 vp[NaEIVtLL YK 76240 Oalanco aftor lnsurancel no response, I • I i i 1 , f, ; DATE 6/30/01 81. B8, F L O W M E M O R I A L 11 0 S P I T A L PAC9 5 A BAD DC-DT TRANU7:ER REPORT FDA PERIOD 6101/01 THRU 6/30/01 1 PATIENT NUMBER anark+rnuab PA Jf k7 NAME rau "A" Anna»ux» 0UAAAkTOR NAM& nrxr,ae*~ ADMITTED DISCHARGED WI1l7E0FO'F OFB ACCOUNT PAX NUMBER NAME, ADDR, Y, STi ZIP MAMG, ADDR, CITY, BTi ZIP y 101 , 18272 p YLE CONNIE ROYLR BOX 17 , CONNIE 1/09/01 L/12/O1 6/26101 "13.35 11~+ 1 BOX 17 TX 76201 HDYkl TX 76201 Moved; DEkYUk left no address, LfO'80 ' qq 201 19992 DUNCfAN, MARY 810CFY WOAYH DR Aix MARY 3/01/01 6/26/81 N •,1 TON WORTH 0 DR N~ TX 76201 DENYON TX 76201 No response to e011ection efforts, I00 201 26230 KINS 80NIA ELpKINS THCRESA 2/01/81. 6/26/01 78. DENTONRUOpLLL K2 TX 76201 0CNTGNAUDDELL 02 rX 76201 NO respOnso to Collection efforts MELVIN 1/29/01 6/26/O► 98.05 202 22079 Qi1RY ~ MELVIN E+4nAY `J0 COTT 908 SCOTT DC TON YX 76201 DENTOON YX 76201 11o response t0 c011oetlon OffOrts, 203 :3301 DhRE~OBE DAVID 7EROSL' ~ REGINA .",/26/81 6/26/81 135,26 ENY N TX 76201 DENTON TX 76201 Arvangeatent5 not kept. 202 2169 VAkzO KITTIE 'VANS 4OUIG t/85/81 6/2b/Ol 2G, 00 p 1.t', BOX 97.6 pl1S'ONOOX 906 TX 76201 DEN ON TX 76201 No response to collection efforts. 201 27459 D~41AND L2NA EVAN13 WILLIAM 3/t3/81 6/26/81 11.3.35 S4•IOCUBT 11.4 LOCUST KA 66091 Unable to locate, WELL V LLS KA 66092 WeLLSVILL& t01 14040 1A~N TERRA x MICHAEL FAIN r VERNON 2/00/01 2/10/81 6/26/81 97 9S (r, gg 11016y SIERRA / DENYON T% 76201 IN ON TK 76201 Movodi loft no address. 201 12610 IrAtUON CHERYL pAAQU tlX t3tl JERRY !2/11/79 6/26/8! 43.00 it Y O% 130 TX 0 jAi 071. TX OOODO ArranVounts not kept. A OYL DDRR tn jQN HOUSE MOTEL qqj A0E76201 5/24/8L 6/26/81 39.75 202 25604 R14RR01 7ROPICANA~Mtl1~ N FFllp 8 DENYk X 76201 HOOP X 76201 FEAO 1 y 101 271.04 1DNDO OHNSDN x KEVYX 76+701 ~ WYDNOWNtlO~J / MATX 76101 No mporls0oto0collection effo ts81 &671, m0 pCt f 173.00 001 87097 il[RR~IN LAKES MGIPCHRIBYOPHE lF O DYWIN LAKES MAPRICHARO 3/01/01 6/26/0L D6NTON T% 7480'1 DDsN ON TX 76201 NO response to collection efforts. 102 9373 GLDS + CLAUDIA Pp~>gfLS~y JAMES 12/10/80 1^./13/00 6/29/81 2ti9.00 XH430 TX 76249 ARUM 0 TX 76249 NO rosponse to collection efforts, t j i t. i , } i • DATE 6/30/81 e: 50: F L O W M E M 0 R I A L H 0 8 P 1 T A L PAGE 6 DAD DCOT TRAN3P11R REPORT FOR PERIOD 6/01/01 THRU 6/00/01 0ApT,ENT-NNU~A~R xaaanaxa PAMNT NAME x*ax*x»w* xrnx* OVARANTOR NAME ***a*xaa DATgg RITE DA fi 01t EA pf; ~ PfTf 1X ET Nm"iL AIJDR, I_Y^, 3T, IP__NA11C, ADAf oC"ITY-------------------------- 1P ADMIRED DISC Aft D WNTCLpr OF? ~CCUUNr 101 16792 POSTER Jn JIMMY FABTCIt , JIMMY 4/09/00 4/l0/80 6/26/01 6791,7J1 4 8 RL+DDELL 085 ;304 R DDCLL 6p0 005 VNTON TX 76201 DENTON TX 76201 Arrangements not kept, 103 16762 FOOTER JR JIMMY FO 7ER JIMMY 9111/60 9/16/80 6/26/01 996,74 4 ~+TSNRUDD[LL 085 TX 76001 UGNTONDOELL 485 TX 76201 Arrongenonts not kept, 201 26787 FXL , ~AI1 NA SANDAR.1 A7H MNPLL3TRODCRT 2/19/01 6/26/91 47.0E V l4 A01I NORTH MNP-L T e1 1LL hh Npq g2 L W OVJLLE 75067 LEWIEVILL 7X 75067 he response to 0olleetion efforts, lot 26040 FULLER , CYNTHIA FULLER CYNTHIA 2/21/81 2/22/01 6/26/DI 165,3E r UU.TAV Pp1l TX 76201 D N7AVE FNIt , TX 76201 No response to collection offorts, ?01 28464 //~~OLIARpI d.39 II Nk , LVANN 23 9 WgDI I.UANN 4/14/01 6/416/81 43, 5 23 V W fAK ENTON TX 76201 UNION TX 76201 NO response to collection offorts. 201 26640 GALT4 2ELM , LOOTER 75060 2/15/el d/26/01 152,0( ~OOT Unable to locate, iW 201 24075 0nAErr ROBERT 0 ,1RE , RONERT 11/19/80 6/26/01 111, 5f 1 1 /3 cR0e0 T1M~3Efi bn3 15 CRO98 TIMQER VINTON 7X 76201 DCNTON TX 76201 No response to collection efforts, R So1 11402 27~ RRt`H 144A ' 6FfCNRY OARRttTppT , ALBERT 11/.21.4/79 6/26/01 1049, 41 OAINHOVILLE TX 76240 QAIHEINILL84A TX 76246 Arrangements not kept, 101 20062 QAUIlIUXN06 NANCY SARA ONdA , VON 12/25/nO 12/20/00 6/26/81 1166.1 ~j eVNDOWN TX 79:172 EPfUNUtJU TX 79372 No response to Collection efforts, t 101 29645 4Ag~0f , MARY A9T0N , E KENNSTH 1/13/01 1/10101 6/26/81 1291,01 f l 9 APLF 610dD qqUU0 MAPL •WOOD QAINHOVILL TX 76240 AINL•'BVIL L TX 76240 NO rospons0 to collection efforts, 101 27100 A5 f*ggAME W At`Y 0 W 0/02/01 3/00/81 6/26/01 934.ZS~ f Y ~INTON TX 76201 CNt014 TX 76201 80 response to collection efforts, 1202 22$40 1t0 EV1t4.AQE it 104 HICHA04 I1pI~q`gVILLAOE E104 IJCN ON TX 76201 MICHAEL 11/0e/00 6/26/D1 73.54 { D1~NTOfJ TX 76201 No response to collection efforts, 101 ,911606 1G1 ~1f~IpAlt 1117 JUANITA DOQIQAK 017 ~ JUAN t/12/81 t/15/61 6/246/91 33, of DL14YON TX 76301 EN ON TX 76201 No response t0 collection efforts, r i J , j I i DATE '6/30/81 G,58; F L 0 W M E M 0 R I A L H 0 8 P I T A L. PACT: 7 DAD DEBT TRANSFER REPORT FOR PERIOD 6101/81 THRU 6/30/01 i PATIENT NUMBER PA7rgNT NAME *******u GUARANTOR NAME DATE DATE DATE OF BALANCE 1 PFX NUMBER NAME, ADDR, C1TY1 8 , Y1P NAMII, ADDR, CITY, ST, 2I ADMITTE_D OIS_C_HARCCO WA IP.oFF OF ACCOUNT Yw,. .,Mrw.ww wwwrww~rwrwwrwwYw wwrw.r......rr.. 701 5771 ORDI , DRORA QDOI i DEBRA 1/18/01 6/:b/81 $1.05 6ANOER DOX tOtl TX 76266 SANOER BOX 108 TX 76266 No response to collection offorts. , 102 12633 OO~N , MARIE OIPJ , MARIE 2/03/81 2/07/91 6/C6/91 191.19 CO.. WB3T OAK M3 80,. 1ICOT OAK u3 DYNTON TX 76201 DCNTON TX 76201 Balance after insurance; no respOnSO, VAN 201 17074 I MTONORSG ' LEWTX 76801 Bib MORSE LEWIS TX76201 4/ 11/80 to collection efforts, 65.00 /00 6/26/0 202 21,766 ~01Y W COLLINS MARTkE 76201 l1'0VJ COLLINS MAT%I 76201 1 No0r8osponso t0 collection efforts! 75.35 tot 213J0 0 ANA , ANNETTE $ppRADHDA , MICHAEL A 12/07/80 12/10/80 6/26/81 199.09 P(fN22N 371 TX 76259 NNULR 371 TX 76^259 Balance after insurance; no response. RAY 101 25921 08RAY RT , ELAINE 08RAY ItT MICHAEL 1/11/01 1/13/81 6/26/01 297.00 TX 76240 tlTAIRNLt1VILLE YX 76240 NO response to collection efforts. r~jx ffTf~t pp , 201 !3679 QrAE3nSO V LE L190A aAA7k 76840 OAInCE~ILl190 A MRBXOA7G240 Nolresponso to collection pffortsty 22''00 209 16300 op i 'N , BUS 111 RVEN SUSIE 2/20/01 6/26/01 1S5:50 RF DOX 206 F RT BOX 206 F AUn UY TX 76227 AUq EY TX 76'127 NO response to collection efforts, 6/26/01 62.50 11~~ f l` NN 201 89975 I1C ~X 590 CQDTX 79034 ORT16COpX 159D RICHARD 1 75034 M5/02/01 oved; left no address, 9 rr 201 25763 gR0YL6N JOETX 76066 AkOYLEN JOTX 76e26 Floved~loft no address. 6/29/0f 6'1,60 201 29387 Djjl1FJOX 1150 RANDALL 76201 DBNTONbX 1158 RANDALL76201 U3/15/31 nable to locate, 6/29/81 39,00 101 22630 pR M gOP Poo , DARLA UUR M DOODY 0 10/29/80 11/01/90 6/02/91 686.10 DDLN7OM~8 OLD TX 76001 DUNTON 208 qL5 TX 76201 No response to collection efforts, 201 24400 11 92 Op , TWYANA OR SNEk OD TWYANA 12/02/80 6/04101 127.50 LCWIOV1L1.11 TX 75067 LEWIGVILLE TX 79067 No response t0 collection efforts. i t I i I~ g e,? JV/ U I U: oU: F•' L 0 41 M C M 0 n I A L. H 0 6 P I T A L PAOE 0 BAD DEBT TRANDPER nEPORT FOR PERIOD 6/01/01 THRU 6/00/01 J~A PAYIE0 pl Nt11?N A►aae.rnaa PATIENT NAME 41*ukavo uanka ca OUARANTOR NAME nwaanan• DATE T ~t PF'X 1't BtSR N'AI*:, ADGR, CI Yn 811 ZIP NAIiC, ADDn, CITY, ST, ZIP OhTR DATE R BALA~~CE ____r__„ ADMITTED DISCHAROLD k'AITLOPF OF ACCOUNT, 201 2~610 OUZMAN JUAN 0~ZMhN , JUAN EALLAS E)17 SHELBY 11104 V117 DHCLDY 4104 3/15/81 6/29/01 132,25 TX 75219 DALLAS TX 75,719 Unable to locate. 202 27510 GUZMAN , JUAN CUMAN JUAN V1117 SHELBY 4104 P017 UHFLDY 4104 3/24/01 6/29/01 14.00 DALLAS TX 79219 DALLAS TX 78219 Unable t0 locate, 201 29794 HALL , WILLIS OLADn Y 02 NORTHWOOD JERRY 1/16/01 6/2.9/01 52,00 pCNTON 1417 PICKINNEY 7X 76201 UCNTON TX 76201 Unable to locate, 101 P5728 HAMMAN TERCBA IIAMMAN BRIAN ttT I DOX 22 111 I DUX 22 1130/01 2/04/01 6/29/01 43143 AURIII.Y TX 76227 AVUII(.:Y TX 76227 MOVcdI loft no addroSS. 2101 26500 HMIPTON RANDY HOWARD ONCO 0/ t6/01 411 14 WHTIC 6/29/03 03.00 PILOT I'T TX 76250 411 F H}}II7G PILAF PT 1X 76290 Unable to locate, 201 26705 HAMP7IIN RICHARD HAMPTON , ROBERT 1407 ODLO 1405 NODLE 2/19/01 6/29/01 28.00 GCNfUN TX 76201 1) ENI(IN TX 76201 NO response to collection, efforts, Jb1 22160 HA.SEN , ,)OD2NE AT 3 nux 2790 HAND OLCY LARDY 10/I6/00 10/17/00' 6/291OS ~ Gi1tJTCJN 1'Y, '7630( ST h IIOX 2710 £110.75 j CNOnr! TX 76x01 Ile response to collection efforts. 111T 20099 rA1Jw'0N 6TGVf JipN9ON E3TEVC 1':T P AMOUD AT 2 REDDUO OT 9/07/00 0/12/60 6/30/B1 174,95 AnoYLC TX 76224 ARGYLE TX 76226 Unable to locate, 201 23744 HARDY cONNIG HARDY i BO,~ 279 BOX 279 DAVID 11/00/00 G/29/O1 29 60 LAIC DALLAS TX 7,067 LA;UV DALLS TX 7;7067 Unable to 10C4te, Rob 711:. Ho'-ADV JAMCO IU;: RUDDCLL 421 i01) N. JANNIE ST. ' JAfi[t0 11/01/00 G/29/8l 19 6U OLNTON TX 76'201 ULNTON TX 760,01 Unable t0 locate, 201 264$2 HAAOD ELEANOR HARDD JOG 6411 BOARDWALK 621 UDARDIIALfI 2/08/81 6/29/01 71, 55 DENTON TX 76x01 D1NTON TX 762 201 NO rosponso to colloctioA offoets, 1012 12368 ARIL NANCY HARRIS JAY 2'/10/00 2/12/80 6/R9/O1 910 LOALtt 4209 312. 4tf CEriTO;l 910 f: ALC 4$09 TX 76'201 UIIN%N TX 741101 Arrangements not kept, 101 19042 1HARRISON , TA,MMI6 ~SS{ppARAgg'pO'J REPrA 7/24/80 7/07/80 6/29/01 1 SAN06F , 5TH ST, TX 74266 SA0OyyR 1JTH 460. 40 TX 76266 No rosponso to colloction offorts. 1 i , n i r I r' _i DATE 6/q0/01 8t 64 F L 4 W t1 F M 0 R I A L H 0 8 P I T A L A PACE ry DAD DEDT TRANSFER REPORT FOR PERIOD 6/01/01 THRU 6/30/81 PflATXENT NUMB R *******n* PAr fNT NAME *****a*** NU`tDEN NAML+, ADDR, CIYr 8T, TIP NAMC, AOON*CITY, GUARANTOR NAM- **ai****u OA « DATE OATF. r ADMITTED DISCHAROEp WnITEEOFK DALAI(cE 201 .Gall HART~INF , JOYCE fIT. ODX 974 lIA1Tl.SNF JOYCE 2/Oa/01 DENTDN RT, 7 DOX 974 6/79/81 61.00 203 10937 HAit~/Ct L TX 76201 DLMON TX 76201 No response to Collection efforts. pp U$X 664 CHARLES }}{{ppRW Lb~ r LOIJ P LO POINT TX 762,40 VARO NT f/OD/81 6/29/01 $7 2B 201 2871 l1ARWELL WANDA TX 7655 No response to collection o(forts, 502 JANI! HAR4IBLL VERNON L`rNTON 5p2 ANIU 2/0S/a1 6/29/81 TX 76201 D.N 14 616.00 201 24296 HASKIN H TX 76201 Ho response t4 collocNon a?forts, Oox01033 ANTHONY NOX1lj0 3 r ANTHONY 11/29/80 TX 76266 SANGER 6orts, .^48,C0 201 24765 HAUPTHAO , R0DER7 '~99 TX 76266 No response t0 collection of forts, 021 PUD ELL HHAaSPDVDNELL SALLY 12/14/00 y DENTDN TX 76301 b/29/01 102,25 HA14K ON Tx 76201 fie ros0nse to Collection efforts. 103 7387 HA14K , WALTER R AtJK 2704 ROOINWgOp DENTDN B1709 RODINWOOD WALTER R 1/21/01 1/24/81 6/79/21 '204,00 7X 76801 DENTDN TX 76201 No response to collection efforts. 141 :5787 HELM LILLIAN DENTON11tlELL ~8ANOX 132 + ARVIO 1/17/01 1/20/81 6129/01 tOl 19980 OORNANDEY TX 76,201 OK 74962 No response to collection efforts. 1773 08 007 DELL , JULIETA E NIIIDCT ARf1ANDD q/ i 0[:NTLIfJ T% 76801 0 MILL ST 10180 9/14/00 6/29JB1 552, 10 701 22642 HESTER ULNTO(J TX 7dwOl IdOVed; left no addreS.S, RT ROYAL DAK11411/ ANGELA HEgTEf} 71M i + OEAITDN TX 76201 T ROYAL OAK41417 10/00/SO 6/29/01 37.00 ~ 201 26557 ittCAg DENTDN TX 76202 No response to c0llocti0n efforts, ' 36! tlRO014 COVE , LISA HICKS HCsR5CHELL L WISVILLB 361 tlRDD14 COVii/fQ/f31 TX 75067 LEWIBVILLf1 6/29/01 P2 ')0 201 25786 VI CKS JR , ARCHIS TX 75067 No response to collection offorts, i • 0.948 1053 ppHICgqKS RR r ARCHIE 1/Ol/01 Dk'NTQN TX 76201 p6NT(Ind 1093 6/29/81 46.00 103 13460 OsIW]TB OAK ' VICKIE TX 76.01 Unable to locate, D MW ARD , DANNY 2/04/O1 2^/10/81 619918l N ON 7X 76$01 DENTdN+~ Tfi OAK 3098 45 102 14139 HgqKE , LUTHGR H~{ TX 16201 Unable to locate, J DENT Wtl4DHAVfiM 2'3 WDODHAVBN , LUTHGR 12/06/80 12/93/00 6/.^.9/81 + DENTDN 1'X 76701 UN~ON 115. f S J Tx 76201 Unable to locate, { i } i i i DATE 6/90/U1 0: 59; F L 0 W M E M 0 A I A L H G S P I T A L PAGE f0 DAD DART TRANSFER RCPORY FOR PERIOD 6/01/01 THRU 6/30/01 ~ I ' PATIENT ryryUNQER a*aa***** PATIG•NT NAME a*u1r*artua ppaaa**a GUARANTOR NAtiE *apn*aar DA't(~~; Dq~7E nyyAYLT nnh p~4LANAE PPX IJUMUR NAME, ADOR, CITY, ST, ZIP NAME, ADDR, CITY, UT, ZIP ADMIYI'ED D10C11AIlOED A'RITL`01F OF ACCOUn • AY»»0U%-aOJCAPR7CORN_,HP_...._»»_ »»00%»38 CAPRICORIJ_M_......._...... O1 25962 HOL2FIRLO A DEpRY HR7LI 2F1G D , CAROLYN 1/23/81 6/24/01 18.13 D:NTON TX 76201 U1E111ON TX 76201 Mood; left no address. 201 74320 HOLLS9 JOE FIOLLI , JOE 11/30/80 6/29/81 23,0 xa5110 C,,A,LOTTEg110 2520 HARLOTTEG110 4MON TX 76201 D914TO14 TX 76201 No response t0 collection efforts. 1 1634 HDLLOWAY WAYLA MONTYA , GLEN 11/21/00 6/29/01 44.0 PONDER DOk 101 AT 1 DOX 131 PONDER TX 76259 PONDER TX 76209 No rosponso to collection efforts, 101 28300 HOLMES , WILLIAM WSAVER EDITH 1/01/81 1/04/01 6/29/Ol 966.7 1:.101 C BROAD14AY 1 01 F QAOADWAY OAINUVILLC TX 76240 0AINEbVILL5 YX 76240 No response to collection efforts, 201 25019 NN"I pOX 206 TWIN,LAK A'KH T k7 kkgLT 206 WG,LDON 1/10/01 6/29/81 36,0 DEN R7 ~ DOX ON TX 76201 OUNTON TX 76201 No rospunse to collection efforts, 101 20471 HOI1p , LINDA HO 1N D WILLIAM R 9/03/30 9/06/00 6/29/01 934,8 p 6ANO RPARK CT TX :6266 8ACERPARK CT TX 76246 No rosponso to collection efforts, 101 19038 HQ11N , VICKIE HORN VICKIE 7/14/00 7/21/00 6/29/81 165,3 Saaid OOYD loin 11OYD DrNYON TX 76201 DENTON TX 76201 NO response to collection efforts, ~{C l01 23686 HOU E , ANN ItlUaL+ , RONALD A 1/20/01 1/20/01 6/,29/81 350,21 / RY F DOX 272 F 1147 1 DUX 272 AUDREY TX 76227 AUBREY YY. 76827 No ruspunso to collection efforts, E 201 22713 HUDIiON MARY HUDuON MARY 10/07/00 6/29/01 102,61 110 is HIGHLAND 1 1U HIGHLAND !1 pCNYON TX 76201 AETU8Nt YX TX 76001 76262 No No response to collection efforts, r 1 21734 ROANOKpCR PHI YX iP 76262 N NNANOY,LER pHLfPootponso to collection effort, 96.6# lOl 25612 HINTER , JgNATHAN NUNYER CHARLES 1/142/81 1/19/81 6/09/81 89412{ 5 51 PETEASON LN q16 tS4 GANT 1 E Ur~~\LJ,LA`Bg~ 7X 76240 ~HY{ERRELL 7k 75103 No response to collection efforts, onts of kept 6/27/81 1300. 21 f a 102 22432 Lf`1Xt R ALAS ' WALTXR 78065 LAKttihi.LAS ' WATXER 75068 tArraS/t5/00 12/94/60 i 2014 26977 p83A MMORE ' DaATX 76902 ~ Y CAMORE MOHAMMED 7,6901 No response to collectioo effortsl 65,7( I I, I , ril A,ti. DATE 6/30/81 8159: PL OW HEMOR S A L H 0 6 P I TAL PACT; II DAD 02DT TRANOPER REPORT POR PERIOD 6/01/81 THRV 6/30/81 Y PATI5NT NUHDC•R aaayaaaaa PATIITNT WE aeaaaaaan anapa*aa OpRANTOR NAME aauaaraa X NVHDEq NAMC~, ADDR, OOITYY, 8r, ZIP NAME, ADOR, CITY, S , ZIP DATE DA T$ rwM rrr_ur rrrr«r rrrrr rrrrrrrr_«rrrrrrrr r. r ADMITTED OigCHARCEA WAIT- DPgA~CCtlIRNT !O1 3439 SNWANO r r... 00 W HICKORY ' ALICE 2NNANQ MDUK 12/26/00 12/27/00 6/24/pl RNTON TX 76$01 DCNYON HICKORY #7 ab3,6y 102 2419 ppA~~KSON TX 76201 ArrvngninOnts not kept, C'VTONLL STREET ' MAR01A goAASI11MM40N , CSDRIC M T% 7ba01 DENTUNLL STREET $/12/01 2/1$/85 6/24/01 1132,06 103 22477 JA~HgpN TX 76201 No response to collection efforts, 721 gU0Y0ELL , MARQARET JACKNUD , MARGARET DENT N Thy ~tUbbELL 11/01/80 11/09/go 6/29/81 346,17 201 23068 DENT }a(NI TX 76201 DENTON TX 76201 No rosponso to collection offorts, DANT4N 643 , ROGERS ~AACpKpSON1693 ROGERS 10/18/00 T% 76201 DtENTOr, YX 76201 No rosponso to collection offo~tsl 51.00 1 4073 JOHNS N , EINA 0 J itl HICKORY 1 Q0NSONHICAORY ' TOMMY 11/04/00 6/29/1 105.10 TX 76201 n 1 n NTOh TX 76201 No re,ponso to collection efforts, 101 22948 0EI#MITH ' BILLY gg D[:NTON ~LSMITH LILA 14/19/80 10/16/80 6/219/01 TX 76201 D.NTON TX 76201 No rosponso to collection efforts, 650.30 201 23762 p 1418X 341 MICHAUL IMP~jLMAN RICHARD 11/09/00 L TYL ELM TX 75068 [0TCLXEa)I 6/74/0! 60.00 QOl 240137 J IJgg3 TX 75068 No response to collection efforts, 5 08 87RICKLAND ' PAYAICIA JONCagr IVAN 5 WIBVILL6 TX 75067 530a ffNICKLAND 11/14/00 b/24/13l 116 .00 TX 79067 Moved; )Oft no address, 101 6184 RULENE ~ , gg J~VO AILROAD AV6 f~IERAILROAO AVE ' RULENE It/11/00 13/20/80 6/69/81 YX 76766 NCIIR tX 76266 110 responso to collection efforts, Jay b2 201 a33b1 N lip REUR KRMP 7511 CHARLOTTE #6 "b1! CHARLOTS'l: 1101 OUINN 10/27/80 6/30/01 DENYON TX 76201 1jENTON 59.00 201 23274 K NM$N RU9Y Tx 76201 NO response to collection O1'forts, 1 MTONUTH DRAOSHAGI 3K~j1M 0NDRAD9HAW RUDY 10/24/80 6/29/81 $0.00 j TX 76201 DtiNT IJ TX 76201 No response to collection efforts, l 201 14622 uR1gIQHpqqUH , NICHOL,18 KRfiIOHl1 14 DILL ~iH~LiAhtA1DNQ CA 49b5y MA~ HA R~~UO 2/OO/SO G/74/81 3419,96 201 7.3393 A 1F.'HN P CA 45655 Movodi loft no addroSs. 1311T S BELINDA I6HN r DSVEALY A O TX 78004 ~R16 10/218/00 4/27/01 92,50 YX 75034 No response to collection Ofrorts, I , .1 t 1 ` 1 z I" f t , f , , 1 DATE 6/30/01 a: 19: VLOw MCM0R J AL HOOP I YAL aAaa 12 it DAD DrUT T1tA?IJF(?R RCPORY FOR P011[(16 1,/Ol/01 TflftU 13/30/at PAYIt NT JUNDCN a nw,i e f pau ~y 9+!'l , V. y, t 17T7Ahlfi. wuaawrn+w - """4H$4 OVA AN 'ift NAAt'. Kauau;fto .1 VlJi113E'R NAflf'1 ADD.. 1 111' NAlir., Aillill, (I7Y, AD~ i 11!1) DItICH(,U0LD 4Ri III c) I fJl~ l,~,rf -`nfew4T 20 ~15gJ L~iNci Or 70,! 1'AI0I.CY aLE'NN LAMCII MARTHA DI:NTON TV 70 I,AIOLGY 4/? t/EJ0 6/~ y/Of O6, 7D 1 301 71,701 VIaJF'p!V Y 77 'I L mgiN TX 'JG;?US No , l MA 1)A I'~" Norf+;r to rollvctlun lfl'nrls. 1011% 1 t r ' FI[C%ORY I.JNIIJ,N R•C, 1!E:fV (fin k % U11 t C. H1CKCkV 9!19/19 ll/;,+4/pJ 5rV 4 76:'01 10 !114 14 7X %G:!O S rte I'cs ens , , 4 0 Lffl~ 7 d~01 L,J3O1 011 , 0I:(, fALD V ~ l0 ColleeijoA u!fJl'lf, I1; 0 DRrAIIII,IDD LOFTON OIRALD LE1J1(;VlLLL TX 11'10 IIRI, men 10/"1.6/00 70067 6/29/DS 3^v 50 101 20409 LVCAU Lct{Il,VILLC Y% 76:OI ND response to collection of forts, 11.n) WINDODII DGDORAH LGCAa JU7tr1IC' OEMYUN TX• %11,.'01 I1:'cl (VIND(IOR 71L71iJ0 7/30/t)o W !11;29/0! ~U1 .07411 N,ACK 1 l. UlCH HACK TX 76201 No ,•L,f 1104, SO p0ose t0 c011cctfon 0ilorts, IL DALLAO ST IV, ppALLAD bT , EDIJARD D/OD/00 6/84/01 OT POJt7Y Y% 768y0 107 FILOY !OILY PILOT (31.35 201 23043 MCKFlf~ Tx 76258 No response to collection offorts, 470( WAOOM12Y7C ' DILL MCKU GILL FT, WORTH TX 6%00 WACtt`;Y"; ll/Il/00 6/24/01 201 21966 MS:TC/:L> 761 l9 F7. WGRIN TX 76119 t10 response to collection offorts, 66.00 In S LOCUti'f ELFRCOA VLFRCDA yy MCYCAI10 5 .f OLNTON TX 76201 9 LOCUGT 9/13/00 6/29/01 63,80 204 184 11 fit LCR , LURCY DrNI'GN 7X 76801 No response to collection efforts, np>? 347 MILIX LEROY (JAUY DOX 747 10/2 :?/so G/24/01 h TX 7G287 AUnn'Y •09, t)5 t01 R2~3a IH J, 513 Tx 76227 No responso to collection efforts, FH( , WILLIAM !:0 J MCTCIIF.LL kt:l~ui oP. U. DOX 518 WILLIAM CD TX 76._62 10/11/00 10/lit/00 6/84/01 201 RanrlOyl? YX 74.162 No response to colloction efforts, 14 0tLI 306. 70 0',93 107VA1.LI , LA2EH MOTJALLI 7 '214 U1}L LAXCM 3/01/01 W(CATH I7FIOft D TX 76006 I. AYHI,I7FOR1) 6/219/81 38.00 lOf '707? Ox~NOD {Jbbyp f1 ~JppTk 16086 MM ¢r~9/1~ BN11gNH018E CHARLtlTTET 7670, ~DN#kONHOUAU'05 CHARLOT xN 76201 4J0018ft qG/1 dr8%s S, 6/D9/8I 1129,05 I X 9 20t 01990: J~'AYf01J , JACK IJAYIDN J~ pT y DbX R97 , JAMES A. left n0 address, TWIN LAU$ Yk 8l~00 THETA 060 911qypol /ao 6/29/9: 60.00 201 0 HQUA701V 1440 TX 77034 3 N`O C , WILURN NCACE No re5pens0 to collation offorts, AGNTONgBCLNT 10 CRECemy WILDLRN 9/11/01 7k 76201 PENTON 6/29/81 12,10 TX 761,101 Balance after insuranco; no responso, f 1 , DATE' 6/30/81 8:99: F L O W -M E M D R I A L H O S P I T A L PAGE t3 DAD DEBT TRANSFER REPORT FOR PERIOD 6101/Ol THRU 6/30/01 PATIENT NUMUER knw1nwnw PAjIgNT NAME #nauwwzwr kknknwkk OUARANTOR NAME awkaxzk► DATE DATE ppAlt OF nALAN PFX NUMOER Nr1MG, ADOR, I Y, ST, ZIP NAME, ADUIt, CITY, BY, IIP ADMIT'IL'D DISCHARGED WRITGOFr OF ACCUAT Mry rwr r rrrrrNrwrw yrVNrMUVrrr Vrrwuuw uu ry rrrrwrrrrrryywr^rrrryrrr yywwru-- ruryru.Y 1 201 u^~^^ 3240 Ngg COMB r INF FC NCJCp~MD , WILLIAM 11/10/00 4/29/Ol 48,.",0 30 BONNIE DRAB 10 tIONNIC DRAG OHNTON TX 7620L ImNlot1 YX 76 01 No response to collection efforts, N1 05 1 21241 WYYUNN r BH5ARI NEWTON KENNETH 0/1!1/80 6/29/01 277. AN &ORA 1313 RUODCLL DENTON 7X 76201 DENTON TX 76201 No rosponsa t0 colloction efforts, 101 2700 NN[[;1rm STEPHANIE NFNTON RANDY 2/.3/O1 2/27/81 6/29/01 1030.53 MCCART AND FIFTH P~ nok 135 Kf1UM TX 76249 K U11 TX 76249 No response to collection efforts. 201 21768 NODICB TYRA LQFJIN DODGY 9/07/00 6129/01 84,60 AT CITY TX 75411 ARTHUR CITY TX 70411 Ro rosponso to coiloCtion afforts, AN 11/30/80 ppR 201 R4306 NORIEoA , JUAN N 6/29/01 16.00 1ggto , JU 309 pA1R18 2A9 FRAIR]C DENTq TX 76201 DL14TON YX 76201 No rosponset balance after insurance, i 201 25386 NRRMAU JACQUELINE NORMAN MICHAEL 1/04/81 6/29/01 45.LO q2 ATURN 0172 42242 SATURN 0172 VILEAND TX 79041 GARLAND TX 70041 - Agreement not kept, 101 24173 NORTH , JESSICA NORTH ORCO It/:14/80 11/25/00 6/21/01 104.34 PO VOX 343 PO UOX 343 { DECAYUR TX 76234 DUCAI'UR TX 76234 No response; balance aftOr insurance. 201 2$$16 NORWOOD , MARILYN 12/27/00 6/29101 54.50 31A PRY 0161 DCNTON TX 76201 Unahlo to locate. 201 24999 pNpOTOTINJHAM13 OARRY pN3TnnTINUwOAM13 , OARRY 12^/:23/00 6/29/01 36.00 1'IU A TX 7bR'/l TIOOA YX 76271 No resjiooso to collection efforts. 201 22590 VbFfi BRENDA GOBER ,17 , ROOCRT 10/04/OO 6/27/01 L04.20 bletll?EEWI73JlTIH DR TX 76148 ppppBT wC.lt7ftCYRpgR TX 76148 No response to collection efforts. 202 22357 q TNSR JE '140 ' SYkCA76266 ;bN ORTS49 M'TXAL76266 2 Unab o1 to locate, 6/29/01 101.00 201 25884 DADXLL RAY p81{L , RAY 1/21/81 6/1$9/01 40 r9 409 S 2ND SYnEaR 469 2ND STREET DANGER TX Y6266 CANCER TX 76266 No response to collection offOrts. s NTO 11/15/Br 6/29/01 60,00 I 201 13090 hJ7pCLL SHIILIA ANr//l0Nry , BAMMY f 7NW[N LAKL9 MIiP 11YX 76201 DUH73NOU1DtI APT 5 TX 76201, Nr, rospollso to Collection afforts, I 5 t ' I DATE b/;7Oibl 8:59: FL O W M C M 0 R I A L H 08P I T AL PAOE 14 BAD DrOT TRA148PER REPORT FOR PERIOD 4/01/01 THRU 6/30/01 PAli M NUy(f1:R ~a}13r~pa PATIIrNY NAtiVA 14t,I'mm , 41nnhtul OIIAI7AFJY()R NA4 uarJaawa DATI' DATV Im 01 DALANC' PF % hiUrfp411 N.1MSu.yyADOfiI C1 TY, V i1' YivANt.. A111H . »61 rYy I)r. _I IN_»»»»_»..»»..»-..» Ai)MITTF:O DIp-----1- T --f, V - dF-rACCU NNT 101 2&257 pill iNP1111 , JUDITH 0111.INo .R , F W 12/30/n0 I?Vu?01 6/29/01 171. 60 pill IIOY 491 H U UUX 494 f KHUM TX 76249 KRUM TX 76249 No response; balaooo after insurance. lot 24110 tltl0711 JUntNTINO RTIf. JUDENTINO 11IT2100 11/4:5/00 6/1!9/01 009.25 30 INDUSTRIAL :304 [NDU^aTlifAL UCNILIN TX 76201 DENION TX 74:!01 Unabiu to locate. Q01 71399 ()jg1;I40 i DAMIEN pWrN8 , PAULA E 0/26/00 6/29/01 32. 50 1?17 CORDELL 1217 CORDELL 1)E.N10N TX 76201 DIiNTO TX 76201 No response to collection efforts. 201 29706 ~tVE NORMAN TERLaA d7~ R , STEVE DL t TON 7% 7b4 1 1/14/01 6/29/01 36.00 g 201 1 1ONORMAN YX 76201 A9regiment not kePt 0 201 26292 PADEN CHRISTINA PppDEN , CHRISTINA 2/03/81 6/29/81 57.60 OTl. 2 DOX '13 RRCT. 2SCO Box 295 Tx /ao~a R pcn ~ TX 79034 Agreement not kept, j 11 tot 20394 PA & LANDON PAO r IDA LOUISM 7126/00 0/04/00 6/30/01 400.00 ! 1685 KENocLPH 160 KKSNDOLPH DENYON YX 76401 OGNTON YX 76VOI No response; balance after insurance. 201 20201 JAHLAVANZADAH i MOHAHAD PAHLAVAUMAH , MOHAMAD 4/06/81 6/29/01 30.00 GNTONOVieE 1423 TX 76201 ENTONO I58 083 YX 76201 Uncooperative response. ; 203 5442 PANNE4L KRIBTIE KCARNE.8 , JAI49T 9/10/00 6/29/01 199.20 i I UNIONf(NARD 03 TX 76201 KRUM)/y YX 76249 No response to collection efforts. s 208 9498 YVINOLAKES MHP LOftl 09YXn 76201 DwWRAK88 MHP LOY~128 YxLD 76201 1/Un461e to locate. 6/29/31 73.90 i DL AVORC AD THOMAS 1/26/81 6/29/01 30.00 { ( 201 26052 PARKE TX THOMAS 76827 p AUO ARKL' RE:Y, OX fi67 i RT 2 OX 267An RT g YX 76227 Unable to locate. 2Lt, RK 101 73130 PEKa pX 146..0 SETTX 75559 DEKALBNX 146-fr / KEYX&Y73559 10/NO/response0to2collection/offo0rti, 717.90' - 1 qp 201 8970 POXKR71 , SHIRLEY PL'i}XKG71 , VIROIL 9/05/79 6/29/01 In. to E %JUSTIN TX 76247 %)$YYIgN 0a TX 76247 No response t0 colleodon'offortS, 202 4707 D~STa~OGpK ' AODTk 76x01 tlCN2TON00AK , ADTXE 76701 2/Bo/response t0 Collection/uf.ogts. 8.00 D I • c. iI ` I, DAYS 6/30/St 9;00: BLOW M E M 0 R I AL H 0 8 P I TAL PACE to DAD DEBT TRANSFER REPORT FOR PERIOD 611 THRU 6/30/01 PATIENT NUMBER k+*aaurrn PA tHNT NNgqME n rxwrrrr *****a#w 0 RANli NAME aaaxna** DATV DATE DATR OF BALANCE PFX NUMBER NAME, ADDR, ~ITYI B7, 2IP NAME, ADDR, CITY, YI ZIP ADMITTRD DISCHARGED WAITrOFF OF 4000VNT V~4 Vw~V,~V ' -----------V4V 4r.... V-4-wV,-V-r--- 201 i 24809 TT R&0N . DEBORAH ;ALT , 12/18/60 6/29/01 53.90 pDq Box 35 ME RNARD. TX 74701 No response to collection efforts. ENTON TX 76201 NNORTH 201 23302 tF 54 , DGRIB AO EFTOW , DORIS 10/2^9/80 6/29/01 129.00 WTI FV WORTH DR E N DETDN TX 76201 N 0 TX 76201 No response to collection efforts, 201 16400 PP EEggy RHONDA ijgIIVILAOE IRMA 11/10/00 b/2h/tll b1, 50 AANION MOAE E N101 TX 76201 D.NTON TX 76901 No response to collection offorts, 201 23748 PA;TCRRVON HALL ,"VIROINI,A PATT 4CiON RAY 10/23/00 6/29/81 50.50 DIMON S ARK TX 76204 pFRggTI CCCaCdDX 50 A TX 75034 No rosoonse to collection efforts, 102 23463 ~RS8C4OX 330 , CHARLES 75039 PRtt1CtO3 BOX 333 )UANICE75039 1t/17/80 on11/ba/00CO af4/3lnurance, 333.00 101 ,20511 ~FR~ASH , MARL'A EACH , JAMES 10/27/00 10/211/80 '6/29/S1 40. to ISCOO TX 79034 FRRIL D TX 0 No response; balance after insurance, t 10067 DBN OMN , CHARx0T7b201 DtNONUYD ' CHrxLO7TT9 620t 1/2NO/Sresponso to collection efforlts, 68,00 f90 OYD f~j (7 203 10067 i d4gUDDELL 4217~ CHARXOTT76201 gpOSRUDDELL 0217 CHARLOTTE 3/ONo Srosponse to collection efforts. 46. 00 ; D f N 102 7369 ?bfiN DOLL LAURA P OUEN JAMES D 10/09/80 10/06100 6/29/01 462.45 ? j MON TX 76201 U NTON BELL TX 76901 Unable to locate. I 201 24026 P+L%R , ROLANDA ?ggLz RR , ANTHONY 11/17/00 6/.'9/01 @0.50 Pip I ONDNOCRY N204 6L>0 8NONDERY 4204 D NTtlN TX 76201 D6OBt~N~tr Nb TX 76701 Unable to locate, } 204 11061 g$[DdSRAFT , J08T%H 76201 bt~IS TO N gRAPT CA TX LYN 7620f ,/2fRo SrospOnse to collection efforts, 100,00 I 201 25767 pp R5Y 18q~{p R,A2 9 VRYL 1/17/8t 6/29/01 36.00 } bENYONOX 23 CAPRICORN TL 76201 ASNaON X 23 CAPRICORNTX 76202 Unable to locate, 101 16968 HRKINS BEAN p7 RRq IpN,~ , CALVIN 6/13/110 6/17/00 6/,29/81 001.63 AN914 TX 76262 It CHLNDHHILL. OLV~ TX 76117 No response to collection efforts. i I !i r i ~ s, ti x, DATE 4/60/6l 9:m F L 0 V! 14 C M 0 R S A L H D S P 1 7 A L PAGE L6 s DAD DSD'f TRIINOFCII REPORT FOR PCRIOD 6/01/81 TPRU 6/30/81 pp PATttNt N~` h wawa*a*** PATIENNT NAMti **a**kf.*u y*4*004♦ CUARANTORNA149 ******u ApDATE DISCi~fCtOCD Wf2SYS00FP ~]f~AA~COUNT a 1,11 f PFx NU, ER NAM-, Al1DR,rCITY, .OT 21P_ NAMLrw AI)DR -C-7Y-ST_r-SP r_ ..rrW. _ r rrr r JJr rrM rrrW-r wJ u p ` 202 7469 PERRY ^ RICHARD NTR1Y11bX 1000 OHERRY t/06/Ol 6/29/81 4 f 60 .00 R7 1 DO% S200, AftOYLL TX 76236 ARGYLL 7X 76226, he mponso to collection efforts, 202 16137 1TIS LISA UTxT03J5 LISA 11/12/00 6/29/01 32.90; ML T POINT TX 76250 ULNTON TX 76201. No responso to collection efforts. ll1 DON1E DNA NA JAM58 11/23/80 a/oWso 6/29/01 327.65 301 20426 AbWC , EMCLY iliL0 UONIC DRA *A DCN7Q No response; balance after Insurance, ON TX 76201 DENTON T% 76201 i ~ r RHCA 11/12/80 6/30/01 37 70 i 202 3057 n 2 11 RHEA PRA I OFN'taNLL TX 76201 ON L TX 76201 No response to collection efforts, ANN RHYlfC ANN 1/OL/ol 6/29/OL 58.00 >0l 29106 flyYIE ROANUKU TX 76226 ROANDKE TX 76226 Unable to locate, I1L`lTGN 9014AND 12/24/00 1/05/01 6/29/61 2332, 50 lot 25035 ~MLEN EhAnD AISLjRNI! APT 3 ,20 MANN APT O Tx 76201 DlifelGN T% 76201 No response to collection hfforLS, 101 22715 9HAW fALLMCA00W Af'TVAi onir SHAW £'ALLMfiADUN NAfy71UM 10/07/00 10/09/00 6/127/01 72^.6, 701 DL14ION TX 76201 DUN TON YX 76201 No response to collection efforts, GLRAI.D 11/11/00 6/29/01 75,001 1 L 23054 API AWN OLi1ALD DOXAGb6 2065 No response to colloctlbn efforts, 00. 606 13 L AM! DALLAS TX 73065 LAKE DALLA TX yO1 23DDP1 OTARNF.S t ,~LG51L' R7AftNf9 n I JCRi;Sts 11/t2/00 6/29/OL 912. 7 D f1 NAI 15 1tNWRIOHT R1 L UOx 00 7X 76201 Al1URI Y T% 72227 NO response to collection' efforts. t DO cf:T UP! I 27264 1};70E'FYH[07L1i a ALLEN U27yPPNI97LE ' ALLEN 3/07/01 6/29/01 97,751 TX 75210 DALLAS 1 7X 75218 No response to collection efforts. ~ DALLAS 3/00/al 3/09/01 6/29/al 305,^"01 S01 27207 O RINRC•ELLQW 0HIRLGY ' F~. d, 93 gYEMN. NS TX 76201 Unable to locate, ~ CC3RtNTH j J61 e^.39v6 O~UAR1• Jdi?N SSUMT JOHN Wis/a0 I,/79/©L all, 54 PGNDER T% 76259 NO response to collection efforts, ft X 1.65 Tx 76259 P 11 x N1UBR ,8 x N + 701 24002 THIAB , EUNICE TTi09AW1LOHInE ' JULIA 11!16/80 6/29/01 35.75j DfLN UN ~N HALT TX 76201 DALLAS TX 70241 No response to collection efforts. F n r i a J'4 (P' , PATE 6130/81 9; 00: F L O W M C M o R ! A L H 0 6 P I T A L PAGE 17 A DAD DCDT TRANSFER REPORT PoR PERIOD 6/01/01 THRU 6/30/81 + PATIENT tJUMpgaR aaaaaNaNN PATT BMT NAME NaaaatNaa N%uaNaaa GW%RANTDR NAME aaaNUaaa DAIS. DATE DATE OP BALANCE PPX NVMDUR NANCrADOR, C~TY,»8T4 IPw NAME':, ADDR, CITY ST, ZIP ADNSTTCU 015CHANCCO WRIT EOF'F OF ACCOUNT . . » ~........._r.».._-____- ......»....._w 201 20971 111 10 EVINO , MARK TREVINO , THOPIAU 4/29/81 6149/dl 10 .70 DLI41UNLTON TX 210 MILTON 76201 DENTON TX 76201 Unable to locate. 201 16127 VANCANNpN , DAVID htCCtlY i 814ARON 3/21/00 6/29/01 SS! 70 29 1 0RA03HAW 329 N I1RAD5HAW ENT 1N N TX 76:0! DENI'UN TX 76201 No response to collection efforts, 201 24011 6IAL'(C}tE{ .REOINALD WALTER RKOINALO tf/l'I/80 b/L7/ot 16,')! 66 )DILINO DLVD 3bylf,b DpMIND DLVD CHUYEONG WY U2001 CHCYCNNE WY 83001 No response; halanca after SnsUranro, 202 25566 14ARD , QRC00 1/17/0i 6/30/01 137.00 2a505 Louisa 0101 DEN'rON TX 76201 Unable to locate, 201 23177 rV?QN60OLL , JOA7% 76201 DWO;A ENTg UNDELL JO TX N 76301 f0/n^^1/80 6/29/01 36.00 r" No responsa to collection efforts. 201 21733 W%Agt) CINDY W60101gyA 0 POINT , HAROLD 7/06/80 6/P.7/01 25.50 rrv~ 6Vef DENTON7 VISTA TX 76201 DCNTUN TX 76COl No responsa to collodion Oftort5, lei btl10 W , DON W HT , DON 7/10/79 7/11/79 6/29/01 44.80 1 AUDUA LANE,,I? AUORA LANE . DE14YON TX 76201 1I:NON TX 76201 No response to collection efforts, 101 21283 ~I7OX Al , FrORREBT itTIT PHYLLIS 0/211/80 0/i13180 6/24/81 442,00 T LA CLM TX 75060 LITTLE I11.M TX 75060 ArranUemonts not kept. 201 24076 V1n Qr.N.0UIBE MARTHA IDENCR MARTHA 11/19/00 6/29/01 61.50 N33 91~ I.OUICE 633 D N OFJ TX 74201 y9EN1VON TX 76201 No rosponse to Wl octi0A efforts. 202 0057 6fYN8AINW8I0HT GROR01i gyNWAAINWRIOHT ' LILLIC 6/13/00 b/".9/01 134.23 DENTON TX 76201 D NTON TX 76201 Ro.rosponso to collottioe efforts, TOTAL DAD DEBT WRITV-OFF THIS PERIOD: 70063.20 y- I ' I J I 3 { I A , l I 1 t t Nv 1 `rt 1 z v ! Ali r. .Air . won DIN14 6/25/H1 1LI:U/: P L U W M L M U R I A L H 0 9 P I T A L PA9u 2 NN ACCUUNTO RECEIVABLE ppACCOUNTT STATUS QCP0HHT pp t gg PATIEPH . NUMBER OUARANTORRRADDRD88AAEPHONC R%G AIS.DATE MEDICAID N ING,2 DUE PATIENTODUE CUIiR.BDAL, CAt 06CT 1101ROi~G08b PGOpAX 3084 nARROrI PEOOY 80 } %20%gS 800,01 134.39 1834.09 p qq bEtNTpN g ~~77 TX 76201 NONE g` 8alance33af33ter ToxaS Rehab, 110RkNB70t07 MADIINTOR91 11I4gWTXA76201 302-1426 81 R%0!%f3l 193g1A8b90 D8; 00, 450.70 Vsb.78 Dalance after Medicara and Kodieaid, CATLIN EUpp * CATLIN EU01?NE 699 6/02/01 201 299;340 UEN ON COUNTY Jq L 301 0 DENTON T>~ 76x01 30, 00 30.00 Denton County Jail, ORLEY 3?ORYCL ORLEY BOYCE ^7 6/'12/01 900,00 S07 6 S07 64402 VTNEMONY 150 Al. 36179 NONE J 501µ7433O 69,00 69,00 g g gg pp Hf11-Burton criteria; c 0101AR023006 JODf1iNTONL000BTELAR119A 0i 011115 699 0 2A/80 .00 SEA 2721.95 Indigent care, 7 s DOLOHS9 me OUI fV,H ILLE ENpR?TAA1 75067 436-7405 9 0 9/21/83 75.00 79.00 Hill-Burton criteria, EDMUNDSQN OLE Abb J RDMUNDGON OLGTA JA 97 9/D6/01 900,00 371,60 102 270207 UN7ONCOTT. TX 76201 0 5/ 7/el 371.60 371, 60 11111-Burton criteria. RO12NEL1~3172 PAULA 500 PARKWAYPINNELL PAULA 0 2 4 1/30/01 150,00 30,00 tl F DENTOryN TX 76201 0173024692 pRI pp yypp RR Indigent taro, 3 UR ' 229054 LELAKGROA4~ASRASNTXD760G9 NpNEARD 009 9/21/01 900,00 30,00 90.00 Denton County Jail, p08TERbQ97Q VERN08 MOXNOtlOgTER VERNON 84 4/27/01 i~97,'00 1 JONTON TX 76201 387-7775 8s Q97, 00 Medically indigent. F GTGR V&NN P08TER VERNON Oq g/0 / 900,00 yD~3 0 4. f0i 2r %772 ~oM02 NOn TX 76.01 307-77%6 p ~^I11/L?~ 2709, 90 5709: y0 Medically indigopit. j , f f a i. , f r l u i, rt a 11 I pr°. 11 U 3 P l T A L PACE 3 ACCOUNTS RE•:CEIVADLC ACCOUNT STATUS RGPORT ' hAt I1 N NAME f1VARANTOR NAME P/C A011. DATE Mfib 18ARE 0 INS. 1 0U INggI UUC 7OY , D ILLED INppIREC PAT. P pX, 14 R bUARANTOR ADDRESS + PHONE R/C DM DUE: M1;DIAID N INS.2 Rug P"VNY DUE CVR~1. i;AL, PA7 N CRIVF'IN CAT'HIC GRIFFIN CATHIE 97 9/00/01 900.00 46, 50 20l 54300 AT. I DOX 1 9R h 8 46, 5O 46. 50 FRISCO TX 78034 292-2465 Hill-DUrlen criteria, HARWELL HAROLD E HAnWCLL EUCC.N1: 97 3/04/01 900.00 4Q. 75 209 93419 400 CAROINAL CC! D cell DIiNYDN X 76201 Dt121332 Hfll•DortOn Criteria. 40.79 4 , 73 1 , HAYNES DCVAR(,Y HAYNES BEVERLY 09 6/16/01 1101 9000929 Uf_NNTUNN COUNTY JAIL q 30.00 ;a CENTUN TX 76201 39.00 30.00 Denton County Jail, HOOK WAngn W HOOK PAULINE 09 2/1f1/01 30}.70 6671, 230 101 267179 D 11`1INDCOR AP YX 76201 3021099 6 4/01181 NEED 194,00 770.$0 270.50 S Medical indigence, HOCK WARREN 14 1400''/, PAULINE 09 2/10/01 150.00 201 267179 J l WINDSOR APT 7 2 NEED 46,00 46.60 10267 i. DENTON TX 76201 3021095 JOHNSON KA1'nIE L' JOHNSON SHInLON 97 A/09/nt Medical indigOnCp 9(10, tl4 44.75 201 eb5207 ~pt wr.py DROaD 0 44.75 44.79 ftILUT UiN YX 76298 606 .675 Hill-Burton criteria, 101 NC 104457 JC71P R~LIVARKLNNf.'MER JCftilV `~0 6/0*/L% o 00 1011 00 1101:008 s OANOCIt TX 76266 NONE Hill-Burton criteria, 1 i KNAOE DAO g P DNT COUNTY 89 6/02/01 y7, 5 Y 203 206112 0 NTgNMCKINNEY TX 76801 3028611 9 Denton County Jail, 77.7.5 77,85 2 801AR290543 ; JA N74N COUNTYN0 IL 7620S 0~ 0/00/81 900.00 07, 00 b7. 00 Denton County )a11. O~LLFA242155 Ll!p& p47 MILLER LEROY 097 6/02/01 30.00 29:88 AVDRY TX 76207 NONE DQntOn County Ja11, f F I l t mow^ 1 4{ {I I' 1 ~,uC ei2SI8t 13;22, ~ aL 0W MBMON Y AL f3 HOP 1 TAL PACE 4 uu ACCOUNTS RECEIVABLE ACCOUNT STATVG RVORT AA7~EPTFNAMhUMBEN OVARAN7C}RRA2TOP NNAMEpi~DNE R/C qp p A~lq pDrr p I gg t f g 3 y~ pp DR 80 + P/ UI£3,DA70 MUATCAID N 1 8;2 DUC PATtGNTD UE CURR,0DAL, AT 2 INEC7;' l 01ER301893 Jp CYsfJTONBOX.3AA2ER JOVCE tl~ 6/10/Ai p D 0 TX 76201 66 50 p4 Denton County Ja11, 60, 50 10fEN$59710 LA N3 NC p OL EN8 LAWRENCU 9 p PY Y 900. 00 NNDURRY WI 76001 4144aa9074C S%Oh%D1'i 17 G' 3 Hill-Burton criteria, 1706' 30 17CG.aD EOIERA6gS7s LAUURA4 ¢d E%ECLVCnA ALICE q7 y LAKE UALLAB TX 75060 NdMG 1/23/51 900.01 Hi 11 BurtOd criteria. 60.00 65.00 b5,00 P 201 5 ARKE762040 8YR7HANR1DkA22QARKER LOIS 88 1/31/81 800,00 y pp DENTON TX 76201 NOME C6,00 Indigent earn, ~ 36,00 0 PEACE JOHNpN PLACE JOHN 9q y 1 102 60341 DLit HAM&a 7k 76201 352 7603 d `%Q1%01 900.00 40~b.25 S04 pQ H}{ ppgg p kill-Burton criteria. 4076. 2S 4~•76.2y E20447 JOD NTON COUNM'JY"1XNL1 J COUNT 89 6/02/01 , DCCCeNTnON 7620 11 ww 9 Denton County Jail, 30.00 DU; 00 101E 30544 RD 9 09T AK 6T PIKE ANNA pp ANCUN 7X 76201 430 7611 p6 p%pgj0 940 Ol D91 , 43 5391.45 3D991.40 I pKG ROp RT PIKE Hi ll•Burton criteria, 1 1 02 30944 a l OAK 2T NOW-IRT 97 4/00/01 NQOA 7X 76201 438 7311 a b/ 1/81 900,00 Hil•Burton criteria, 2110. 63 auO;Es E NO ~8 g y n1y JA y 209 J41200 2 R8&D ACYNOLDU JANUTT 89 6/28/81 D N ON 7X 76201 NONE 2 0624192-01 150100 1a I p Balance after Medicaid, 12; 00 0; 08 OO~MO299032 AN 2AOMCDtlNAIDTTY D NTON 8U51E 90 6/01/51 Balance after Mebpalodo f 9, 4 T% 76201 3E3 4696 fa, 00 P1 CO pp NN ' 19APWOb3709 CAME MCkIN''OV1TX COUN1 387 8611 8Q 0/29/Of. 0 900.00 53 60 53, 6S , OAnton County Jail, , f ti I ' AkJA .ts<, t k_ DATE 6/25!01 13:20: I"L 1711 rfE MUR i AL H00 N'! 7AL PACE y AT ACCOUNT9 RECCIVADLZ ACCOUNT STATUS REPORT 1fiMT AHE GUARANTOR NAME f A. NRFXN. NUMDER F/C ADr. DATE FtCI} f7fi k INFt GUARANTOR AUDRCO5 PHONE R/C DIa. LAT( M1:U tCttCC A IA UU I A7O I) 1E , nU' U D IN3. TOT nILt, CD It,nlf,sC• it1 INN Yf CF.S I1C VNY UVK: CUhR. UANAY n 0g N F3TINNETY Cl:ORCF F19 i/06/A1 300..15 F Y. V nOX 9",5 VAC. VILl.AO DENTON Tx 74'201 302-9027 6 5/ 2/01 900.0. 10770,95 hatiutt 0xpircd•-n0 assuts 93.07 93.07 SYORII ROllrRT I)PNTUN COUNT 201 00491 301 C MCKINNI:Y 09 6/07/01 OCNTON TX 76201 30ti- a 900,00 . Obll Denton County Jail, 40 7D 40.75 ~YORt9 ROBERT DCNTON C11UNT 40.75 02) 300491 101 C: OckINrILY 09 6/09/01 DIiN70N 900.00 7X 76 Of 302-0615 0 f Denton County Jail, 66,00 6666..00 9TOk1~J .00 0 RO301 DENYON COUNT 099 6/14/01 'y ..03 300491 O E MCKINIIF".Y 09 ` DENTON TX 76201 302-0611 900,00. pp ii,. yy Denton County Jail, 40. 75 40, 75 75 I 805110246009 DCNTUNT63/nfNOCOUNTbR~jILOOCkT 099 6/1,2/91 RO Denton Count' 541.00 14~, S8 9YDARp KHAMHACK LVCA9 J jail, I 211075. ~02 LAKEY BY MEG 09 0/27/E10 ENYON TX 76.201 303 lOdB 6 24. Gs 24,00 {~YOARA PHFT2ARn BYDARA P4EY4AR19 89 s/a9/Oq Indigent care, 301 102;41 00 LAKEY OEN'fp'N TX 76201 9173831694' Indigent care, 41 40 k pn/n~qp 41, 40 41,40 002t4P2~1075 DAUCNION COUNTYOJASLN BARBARA E)? s/3b/91 1 tt DENTON T 76201 900, 00 f I Denton county jail, 56,20 yy;;,g WALDEN I C7 CI 1 TOwrIY C WALDEN ;11:1 YiIUMA3 11111 RU£lBELL 97 3/301hi 160946 131 DENTON 900,00 / YX 76201 NON5 0 :1/31 774, gg ;7 99 7 , 61Ai;°l N BILLIEg 1`1.9!!~~R t~ pp qq tt Hill-Burton criteria, BILLIE 30.2 119549 17pr01TUNILLAOE 6AZ 760! ' 900.01 831029 OG 9%02%g11 gs { 216, Og Q^4dtb. ~y W, RFt N DalaACO after Texas Aohab, 1 tf4 119149 82=a0 VILLAOkf,EAST Hlp BCLLIf B9 D/04/M N 900,01 DnN O YX 7Ea'l 3031028 6 5/11/91 StS09,,00 Daiance after Texas Aohab, 160, 29 160' 29 FA 1 I r . DATE 6/20/01 13:30: P L O W M E M O R I A L II 0 9 P I T A L PACE 6 A Y ACCOUNTS R£CEIVADLE ACCOUNT STATUO REPORT PATIENT NAME GUARANTOR NAME P/C ADM DATE MEDICARE N IN9.1 bUE IN9'3 DU9 TOT, BILLED INDIRECT PAY, PRP%. NUMBER OUARANTOR NADDRES0 + PHONE R/C. DIS. DATC MEDICAID If INS. 2 DUE NATUNT DUE CURB. DAL, PhT N W IOD ARREt19149 DILLIG 41LLAO~AEAHY 8142 BSILIS Ob S%l~ ai 900.01 1202. 0 /01 W[[L gg DCNTON gg NN TX 76°01 3031029 ` Dolan-co dater TCRd$ Rehab, 91.42 91.2 ttOfl 30 463 OE IIYENMCRINNEYT~x 7COUNT 6201 302 0970 8° b/11/01 900.00 39.00 38.00 Denton County Jail, WILLIAMB KENNETH L TX REHADILIT 09 IS/10/F10 1 24 603 RR1 BOX 104 60.00 CCLINA TX 70009 2143022393 0 60,00 60,00 Dalanco after Tow Rehab, W NDLq DANNY DJ WIN LE DANNY 97 8/24/01 900.00 94.130 701 .96841 VALLCYOVICWUN NTX 76272 NONE 9 Hill-Burton criteria, 94'00 44'00 SOSD 97320 RAD NTONUk 1 DNTDCt,9XT7Z20f 30707944 97 S~P7/81 900.00 2693,40 8493,98 T 0 Hilt-Dorton criteria, RANDY gg t 2023 20701 RO EMTdX1 C&NYG9D HP7b201 01738774449 4/17/91 900,00 61,28 61. p0 Hill-Burton oritoria, 9 26,3&1.73 I - r r °i 1 a , YY s' t{ i Ulu ~rT <N, 10 . ~Y c 4 412 E° J w!'reof BUSINESS MINUTES Date _ May 21,_19$1 1?° Page 1 The Board of Directors of Flow Memorial Hospital met in regular session at 12:15 p.m. on Thursday, May 219 1981, Mr. George Hilz, Chairman of the Finance Committees p'eesided in the absence of the Chairman, Vice-Chairman, and Secretary. Other Board members present were Dr. A. M, Finlay, Mr. Ralph Havenhill, and Mr. Brad Moore. Also present were Mrs. Wilma Fritz, Mrs, Gloria Madewel1. Dr. Arvin Shlr tt T d Watson. ~ If The minutes of the previous meeting were presented and appro ed. "'~~~111 JUN 7 2 1981 Old Business: Droo 1n OB Patients--Mr. Watson reported that as requested by{fi~ Kaf had contacted our hosp Tats to ascertain their policy regarding patienUM ER1&uiFWCs rivat physician arriving at the hospital for childbirth. He outlined the information e received. There was further discussion concerning a federal and state Maternal and Infant grant which one of the hospitals receives to compensate the physician and reim- burse the hospital for services, The Board members asked the Administrator to further investigate the possibility of this hospital receiving Maternal and Infant grant funds New Business: ~Fina.nnccee-- sommitte~--mrs. Fritz reviewed the financial statements and highlighted some spespecific statistics, she noted that the statement of operation reflected an operational profit for all patient-revenue-producing departments for the first time M1 that she could remember. She noted that with the average daily census of 88 for the > month, there had been an operational profit of $10033. The year-to-date average daily census was 96.1. with a year-to-date excess of revenue over expenses of $265,596. Due to a complete computer conversion by Medicare, Mrs. Fritz explained that an averag. + I amount is being sent to the hospital to be followed later by an accounting of to what accounts the amount should be posted, Mrs. Fritz noted that a $100,000 certificate of deposit at Sanger National Bank will mature before the next Board meetingg. She reminded the Board that this CO was designated to repay $65,000 in bonds, with the ( remaining $35,000 needed in reserve for future re payment of,bondsf The Board members II re-affirmed this decision and requested Mrs. Fritz to re-invest the reserved $35,000 s in another certificate of deposit. The Charity Charge-Off list in the amount of $23,724 and the Bad Debt Charge-Off List in th^ amount of $66,847 were presented and reviewed. Mr. Moore moved that the report from the Finance Committee be approved in l j its entirety; this motion was seconded and passed by voice vote. Foundation. Board--The minutes of the May meeting of the Flow Foundation Board of J Directors were re`v"iewed by Mr, Moore. The minutes were accepted as presented. gaU,lity Ac ountab..illt~--Dr. Short reviewed the minutes of the May meeting of the Quality Accounta lity/ ed cal Audit Committee, He noted that they had been informed of the guidelines which have been developed for the nursing schools to resolve the problems with staffing and supervision of the students in the hospital, Mr. Havenhill I r moved that the Quality Accountability report be accepted as presented; this motion was seconded and passed by voice vote. a ~ t Safety Committee--Mr, Watson reviewed the minutes of the May meeting of the Safet E Commi 1 Ulf, ed that the committee had reviewed a recent case in which an f employee had injured her back off-the-Job and had recommended that persons with back injuries should not be placed in Jobs which require heavy lifting. The Committee had k! also acted on a recommendation from the Board of Directors regarding installation of a recording device at the switchboard in that they, too, recommended this installation. A sut-marized report of the April incident reports was presented to the Board for review Dr, Finlay suggested that lumbar spine series might be in order for any new employees who may be placed in positions where heavy lifting is required. „I,N.IrWA A IIfA Y•e is 1nIPtuN AI<eU Ge 11 Urr 1111W1 ' ~ - ~~..ate.iwY•+:bi suin 441Ni4KA~Wt43.kwy } •.aix....r.n.4if••+y,1h,Wa(A.SJtYMN NA.+flM)r n...,..i. ti 1 1 i 1 . 5 4,y ~l { BOARD OR DIRECTORS BUSINESS MINUTES Pdge r _ - - May 21_L_1981.._ = = ====p g - 2- UtiTizaiion" Review Commm ttee--The minutes of the revious oieetin were presented and reviewed. The Administrator pointed out that this committee also is responsible 6 for reviewing tissue and transfusion reports, as well as medical records fuMctions. Medical Staff. Report--Dr. Short reviewed the minutes of the Executive Committee Meeting. He commented t~Fiat they had been informed about a recent problem in which the surgeon "on call" for the Emergency Room had not been easily contacted to come admit a patient, Mr. Havenhill asked if this occurs often, and Dr. Short stated that it was only an isolated incident and that he has already talked with the persons involved, Drr. Short reported the results of the Executive Committee's study of capital equipment items for the next fiscal year's budget. He stated that each department was represent ,d and had expressed their needs for equipment, as well as the priority of the need, He added that the members of the Executive Committee had reduced the capital equipment budget by some $25,000 by deleting some of the items which they felt were not really needed or that were duplicated by some other department. All members of the Executive Committee had agreed upon the equipment and priority (see attached). Mr. Havenhill asked how the equipment would be purchased, and the Administrator responded that it could 'either be purchased with a bank loan for some of the larger items or if the funds from the City and County are received in a lump sum, this money could be used to purchase some of the larger items, He added that the smaller amount items could be purchased with operating funds depending upon the utilization of the hospital. Mr. Havenhill suggested that the Board members monitor the list throughout the next year to check what items have been purchased as recommended by the medical staff. i The application for-re-appointment to the Courtesy Medical Staff with privileges in emergency medicine from James Arthur Crute, M.D., which had been recommended by the Credentials Committee, the Critical Care Committee, and the Executive Committee of the Medical Staff was presented and reviewed. Mr. Havenhill moved that the Report from the Medical Staff be accepted and that the application from Dr. Crute be approved 1 F this motion was seconded and passed by voice vote. Enaaaement_of Auditor--A proposal from Peat, Marwick, Mitchell and Company to perform the audit or fiscal year 1980-81 at a cost of $16,600 plus out-of-pocket -expenses was presented and reviewed. Mrs. Fritz was asked to comment about the cooperativeness and capabilities of this firm, and she responded very favorably. She added that representatives from the firm communicate with her frequently about current financial statements and recommended that the Board consider engaging Peat, Marwick, 'Mitchell and Company again. Dr. Finlay moved that the Board accept the proposal from -Peat, Marwick, Mitchell and Company, this motion was seconded and passed by voice vote Annual Meeti.M--Mr, Watson announced that the Texas Hospital Association's Annual onvent on s scheduled to be in Dallas June 8.10 and suggested that the Board ,members might want to attend some of its meetings and exhiM ts, He also invited the 'Board members to attend the'Chairman's Party, scheduled for June 8, and asked `the memb s tto contact Gloria Madewell if they were interested in reserving a ticket, P o as_s_o_fPurchases--The Administrator reported that the new printing press has been recee Ved, the new Wipes have been hung in the patient rooms, and the vinyl wall covering is more than 50% installed, Home Care Services--The Administrator reported that the application for a Certifi- cate 15 Mead a'l le"en returned from the Texas Health Facilities Commission with some recommended changes. The application has been changes and has been re-submitted. 'Approval is expected by July 1. ( i Credit and Collection--Mr. Watson reported that subsequent to a suit filed by the 'hospital" SWIM. a pat a 1'to collect a bill, the patient has filed a countersuit to contest the bill. He explained that this is the first time in recent years th t this has happened but that it might happen again since the hospital is actively try~ng ':o collect all due bills. i mew 11.610 _ on r,e„rr we~n,,~n.. r,"u,en nunuruCA i t i I i YARD OF DIRECTORS.,-' - 1, BUSINESS MINUTES oat, -pa9o I Budget--The proposed fiscal year 1981-82 Financial Plan was distributed and brief reviewed. The Administrator asked the Board men,bers to review the budget and be pre- pared to consider its approval at the next meeting. Car Allowance--Mr, Havenhill reported on information gained from other hospitals concern ng automo ile allowances for administrators. Due to the absence of some of the Board members, he asked that this topic be tabled 'until the next meeting. It was ggenerally agreed that any car allowance agreed upon should be made retroactive to 3anuary 111 1981. Professio al Office Building--Mr. Havenhill asked if the Board had ever considers build ng an o f ce u ng a acent to the hospital and stated that he felt it would be an asset in increasing the utilization of the hospital. It was reported that on tw occasions within the past 5-6 years such a project has been considered and studied. On the most recent occasion, an opinion from the Attorney General of Texas indicated that it would be legal to build such a building on the hospital grounds, which are owned by the City and County. The project had not been started, however, because a survey of physicians who would lease office space had riot produced enough positive responses to guarantee security for the investor. The Board members agreed that this j possibility should be re-investigated and asked the Administrator to contact an office building company to determine the feasibility at the present time. They, 4suggested that it might be ppossible for the hospital to build the building using re ~n bonds and asked Mr. Watson to investigate this, also. ' There was no further business, and the meeting was adjourned at 8:35 p.m. ,4. George Hi1x j. Chairman, Finance Committee I Acting Chairman, Acting Secretary I , I € 9m t F r ILI R Mr C~ t L { 3 ; IHf ,N I I It I t♦1' 1tUIO Co.. of 1111. 111,1/111 "I'M ill N Y, 1 F$ r Wi +YMr ..-....w•+r+•e:...r».x....«r..,a.urw....d.a.w•s+.wwv:artirn~.ru.:Nbe,.ewv.~U4;6~/ll~.t~ _ jW#5 ....uw..rawwpXltlpPyit.MMwalra+.ew.wawm... ,-r•.•••• f:Y,r tt7t a . ~uM;h , aH. a, M` r CAPITAL EQUIPMENT BUDGET MEDICAL ITEMS ONLY FISCAL YEAR 1981-82 rioritized by Executive Committee of the Medical Staff on may 180 1981 As p A d Urgent need B = , Needed 3-6 months Needed 6.12 monthsaafter00ctoberll C C A B $ 2,800 post Partum: 8,000 7 Chairs/Bedside 5 Electrical Beds i 11,254 i Nursery: 2 Ohio incubators $ 50600 Textronix Monitor Analyzer 13,000 60000 Transcutaneous oxygen 5,200 Billrubinometer 2,000 NIC.u Bed ! Neonatal Blood Pressure Doppler 2,00 l Blood 4lucose Analyzer $ diant} 3,000 Ohio Warmer {Ra s Infant Ventilator a 12 ,000 i Operating Room: Table E Amsco operating 18,000 Amsco Orthographic Table 800000 Siemen C-Arm .Fluoroscapy 28,000 ; Surgical microscope 10,000 Bronchoscope 3,950 Aspen Electrosurgical Unit 6,450 Wbor h Delivery: 85000 ` Life Pack 0 2,860 j Fetal Heart Monitor { Warming Cabinet 2,000 4 Bovie Unit , i -Emergency Room: 61450 4A85 fe Pack 5 3,076 3 patient Stretchers 9 Wall Otoscopes Respiratory Therapy: 2,700 i Equipment Dryer 4,000 i Temeter Analyzer ' zf Page 2 Medical Equipment Priority Listing + A B C X-Ray. : Cassettes & Screens $ 109000 U'. F asound Small Parts Transducer 2,175 $ 15,000 ; CES Video Character Upgrade ADR Unit 70500 Nuclear Medicine: Diagnostic Computer 75,000 Cardiac Stress Table 5,000 Dose Calibrator $ 5,200 Physical Therapy: Shower Trolley 2860 Shower Unit Lift Transport , 2,900 Life Pack 4 5,100 5,700 a 38 Unit (Behavioral Medicine) s` f Biofeedback Equipment Psychotherapy/Neuropsycho- 4,000 diagnostic Room 30000 Dlnnostic, treatment, & educational video equipment B 500 Water fountain 20000 Upgrade security area 6,000 Audio-visual Equipment 4,900 Exercise & recreational equipment 2,000 T'..'ALS 208,b42 ~ $1309250 $ 840825 $ TOTAL, MEDICAL EQUIpM61T: $ 423,717 r ! , ;w c"t t J y 1 F ` ' 'NlfYyAaNHl1Al4 kIY'kMR. si M+.Nxuaw,:uvw~.s.,w r+e..wu.w ersw krrtW WxGyypy~i',akra.. rr ?W. M. r CAPITAL. EQUIPMENT BUDGET I FISCAL YEAR 1981-82 1 OTHER, NON-MEDICAL EQUIPMENT Listing by priority A Urgent need 8 Needed 3-6 months after October 1 s C a Needed 6.12 months after October 1 A B C Central Supply: Sterilizer $ 75,000 Laundry: Air Handling Unit 8,228 t Medical Records: 2 Lanier Word Processors $ 3,040 3M Model 600 Microfilm Reader/ Printer 5,000 Plant: j Corridor Doors $ 20100 Storage Warehouse 23,400 Steam Boiler 1150000 i Bumper Guards/Handrails 11,000 Y> ''TOTALS $ 21100 $ 1060228 $ 134,000 TOTAL, NON-MEDICAL EQUIPMENT: $ 242,328 rt TOTALS, MEDICAL & NON-MEDICAL S 1320250 $ 191,053 $ 342,642 i GRAND TOTAL: $ 6660045 E s : 4M4 r t 1 4.11 i I t W"j i FLOW MEMORIAL 110SPITAL BALANCE SUM MAY 31 , 19!11 Current Assets: 1901 1980 Current Liabilities: t Cash-4porating $ 11-6M, $..10*X160... Current Notes Payable $`142,;471T $ `"174-117'" Interest & SInkinq 14,339 16,755 Accounts Payable 575,165 616,114 Reserve Fund 71471 Accrued Payroll 202,788 1431607 Ropair Fund 41862 8,709 Payroll Taxes 49,144 83,498 r, Group Health Insurance 29596 11484 Fees Payable 130,486 68,414 3 Investments/Board Designated 271,398__ 312,999 Bond Interest Payable 17,293 165768 - Bonds Payable 65 000 5 000 Total Cash R Investments $ 3770079 $ 4115,3013 Total Current Liabilities $ 1.F82-,T6T $-ofIfit3" Accounts Receivable $ 2 260,691 2 018,291 Other Liabilities: Less: Allowances 262 89) ~3203~1~8~0 ' Not Patient Receivables $1;g""47;Q3Ij" $-1-007r Deferred Income $ 101,806 $ 82,077 Long Term Notes Payable 340,375 306,344 Other Receivables Bonds Payable 495,000 560,000 j ; $ 180,975 $ 98,650 Inventories 278,718 207,167 'total Liabilities $ 21119,845 $ 19906,200 Prepaid Expenses 69,307 65,576 Total Current Assets $ 2,9011917 $ 2,591013 Capital: City of Denton $ 393,165 $ 393,166 Property, Plant & Equipment: County of Denton 1,6961871 1,696,871 ,547 Endowment Flow Estate 240,461 240,461 E3uildinfl Improvements $ 39017 37 , $47 878 $ 2o97437 , ,646 Fed, Grants, Hill-Burton 118680910 1,868,910 3 6 6,624 Federal Grants 256,371 256,371 , ' Furniture & 5quipment 4 051,335 Pledges and Gifts 373,300 326,502 ; ft I05170_ T ,6 T Gen, Fund Sal,, Beg, of Yr, (944,662) (),163,821) 13,7159 3 32,180 Current Year 302.597 390,791 1 Accumulated Depreciation IN Net Property, Plant & Equip, 3 404tjOl_ $ 31333,637 Total Capital 41186,R73 4!019.250 TOTAL OPERATINO FUND 6 3 ~8) $ 5,925,450 TOTAL OPERATING FUND 6 306 818 51926,450 1 i Current Ratio 2,45 { i ,t 11'•r V!.y w~....rrrrw.......w~~.'~~.~.....v.~......-.~r.o..r.wi^^wr..rrV'Y+w~~w..•~t.wti~n. r.~w....w. ..rrYi+..•.~.. r.....~n....~- r_. I C rte J 3V 1 *F 1t .fie U 1 Y fir' I, r fx r' 1 Page 2 FLOW ME.MORiAG HOSPITAL 0ATWICAL STATEMENT MAY 31, 1981 ' CURRENT MONTH YEAR - TO - DATE PR10R Actual Budget Actual Budget Year-to-Date Alt Patient Days 21878 21790 23,259 21,870 23,293 Average/Day 9218 90\0 95.7 90,0 95.5 Wwborn Patient Days 346 403 21653 3,159 21962 r Average/Day 1112 13.0 1019 13.0 1211 ' I Gross Patient Revenue/Pt. Day $ 329.13 $ 294.59 $ 311.56 $ 300,65 $ 262,14 r Total Expense)Pt. Day $ 282.34 $ 247.54 $ 266,52 $ 250,17 $ 218,58 i? Month Charity Bad Debt_ Recover, October $ 280023 $ 61,326 $ 79117 November 29,827 81,970 6,285 December 320562 56,439 51249 { January 73929 79,034 13,313 February 31,616 100,778 149073 E March 75,735 76,609 6,354 ` !!II April 23,724 66,847 5,007 f May 21 359 S 938_ 8 685 i ; TAW of Revenue 3.5% 7.8% 110 % ~t r, k A9f t 1 t 3• r r ti, } yip 1 r~ L 1 4 r. Y F L O W M E M O RI A L H O S P I T A I. Page3 STATEMENT OF OPERATIONS/MAY 31, 1981 % of Salaries supplies Total Direct Operating Revenue Revenuo &__iete its & Ot er Ex eases Profit Los Gaily Hospital Care 22 03 230 $ 99,818 6 $ 103, 9 Psychiatric Care 6 559452 23,723 760 24,483 300969 00/Post Partum 5 49,404 13,694 868 140562 34 842 ICU 2 18,450 17,896 744 18,640 690) Nursery 2 23,200 7,830 11569 9,399 13,601 Neonatal Nursery I 7,425 11,447 292 11,739 (4,314) Coronary Care Unit 4 35,I64 29,491 2,904 32,395 2,769 ti Labor & Delivery 3 27,700 18,639 4,396 23,035 4,b65 r Operating &,Recovery 4 40,430 15;649 6,808 22,457 17 973 ' Emergency Room 3 32,907 133078 20$26 33,604 1697) Central SUpply 7 635794 8,450 250994 349444 29,350 Laboratory/ SONY Bank 10 949283 43,683 430583 50,700 Radiology/Nuclear Medicine 8 70,711 17,676 16,620 34,296 36,415 Pharmacy/IV 13 123,267 10,453 369624 46,977 76;290 Anesthesia 3 31,066 11,466 71139 18,595 12,471 i Cardiopulmonary 2 18,651 59773 6,950 12,123 g,g28 Respiratory Therapy 4 40,295 10,843 2,891 13,734 26,661 Physical Therapy, 1 9 207 5 397 322 6A719 3j488 3 Deductions of Revenue $ (.46,601} $ _ $ $ $ 46,6 1 ' Charity & Bad Debt (88,009) - (884.9 VM Enlp,loyee Health Ins, Exp. 9,814 9,814 Medical Records 121 9,947 1,258 3I,205 (944 c Gift t ~ Shop/Grounds Mtc. (11,084 ; 1,444 1,505 2,132 3 637 (21 3'3 Cafeteria 91534 24,631 24,838 49;469 39,936 Housekeeping/Security Guard 14,534 70,592 85,22.6 85,226 25,270 3,819 29,08929,0$9 Laondry 6,276 1,031 7,307 (7.,307 Fiscal Affairs/Date Proc, 8,863 81426 17,288 (170288 Business Ofc,/Credit & Collect. 20,631 8,441 28,972 28,872 Purchasing I t641 611 2,252 2,262 Personnel 31227 3,676 61802 60862 Administration 6,689 810 7,499 7 Staff Education 1,814 601 2,415 2;415 General & Administrative 344 13,767 13,757 13,413 { Depreciation 3;3&4 6 T133,646 33 46 16 _7F T12M_ Gain (Loss) from Operations 08 XF~ $(413 D4b) " Non-operating Revenue 21,138 9,012 P' Foundation 6,803 26'838 v Total 849,410 46,3 1 365,116 81 , 7 36, L1 I! jowl i i try. rts [ ~ p 1'. ale{ r zd .E+ r: FLOW MEMORIAL HOSPITAL WTCMENT OF OPERATIONS/YEAR-TO-DATE, MAY 31, 1981 Page 4 w of Salaries Supplies Total Dlr6et Operating oss___ !tf r tabu RIIT17t 94~0 & Benefits F Other E 18706 $Pro .16~? ~.~0 $w.1~4~1 $°~'f9,991-- 3~;G70 V '~62, 9 ~ Psychiatric Care 6 00I 179,601 0,05 08/ Post Parton 5 344,025 97,464 91002 106,466 237,659 ICiI 2 153,325 126,090 8,344 134,434 18,891 Nursery 3 185,820 81452 12,085 93,637 92,183 No' natal Nursery I 65,200 822038 29035 84,073 (18,873) Co, onary Care Unit 4 284,885 209,880 22,700 232,680 521305 La or & Delivery 3 199,655 130,,373 32,646 163,019 36,636 Operating & Recovery 4 314,148 120,886 79,907 197,793 116,355 f Em rgoncy Room 3 231,846 97,326 167,028 264,354 (320508) C2tral Suppply 6 473,722 62,200 174.00 236,650 237,072 L oratory/alood Rank 10 705,351 3319522 331,522 373,929 Radiology/Nuclear Medicine 8 551,181 126,110 147,926 273,936 277,245 r Pharmacy/IV 14 987,352 745886 253,372 328,258 659,094 Anesthesia 3 228,404 86,562 59,446 146,008 82,3.96 Cardiopulmonary 2 157,351 43,441 689353 111,794 45,567 Respiratory Therapy 5 3920807 85,255 45,599 130,854 2610963 s. Physical Therapy 1 76 819 43 056 3,563 3 DO Tota I Tbb~ , , > 1;4949943 3o831,574 , , ' Deductions of Revenue $ 371,380 $ $ $ $ 371,380 Charity & Bad Debt ~714Y990; 714,990 i FiZ oyeo Health Ins. Exp. 169,666 1591666 169,666 ` Medical Records 1,735 75,963 13,766 82,229 (879494 Gi t Shop/Grounds Mtc, 11,746 10,641 9,298 202339 (80393 Ca eteria 80,391 189,422 193,018 382,440 (302,049 Plant 1199122 339,362 468,484 (458484 Housekeeping/Security Guard 179,934 39,315 219,249 (219,249 r La ndry, 580805 16,370 74,178 74,176 Fi~cal Affairs/Data Proces. 611367 37,377 980744 (989744 Buslnes9 Ofc,/Credit & Collect. 166,133 74,972 241,105 (241,106 a i Purchasing 11,981 6,608 180669 189669 " ' 24,401 19,180 4.30581 43,681 Personnel u_. 47,727 14,468 62)186 620185 Administration Staff Education 13,619 3,618 179437 170437 ` G06eral & Administrative 14,244 214,490 214 649 240*6d6 Depreciation , N-244,649 (978o294)- 9,01 1j,185sI27 215441142- 1322 396 , Gain (L"4s) From Operation 77-1862 j Non-operating Revenue 187,708 187,708 36,977 36 97 Total oundation :.y ,1; qtr i A r owl I FLOW MC•M0RIAL HOSPITAL SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS MAY 31, 1981 _ CURRENT MONTH _ YEAR:I DATE Beginning Balance $ $ 103,665 $ $ 22,839 Cash Received From: Active Patient Accounts 708,810 5,901,126 Bari Debt Accounts 81605 66,028 Cafeteria 91538 839986 Appropriations/Donations 11,107 184,920 Other 25,E 7 4 489 ___263 853 Total Cash k.,ailable 6 601*,913 V-6, 28,'x'2"_ Cash Disbursements: Payroll $ 333,147 $ 22740,355 Payroll Taxes 49,341 381,963 a Patient Refunds 31,043 187,639 Capital Assets 30,330 2145203 , Notes Payable 10,288 82;247 Other 331t626 2L840 ,0j _ Total Disbursements 786,775 6 46 373 _ Cash Balance Cash Investments 27 i 1 271J98 1 , E Total Cash 363 777 353 77y r E Gross Pationt Revenue $ 929,631 ; 7,221,574 i Less: Allowances (14,340) 4 ~6 a) Net Patient Revenue ",784o`948- Cash Received on Pao ent Accounts 708 $ 5 9807,1626 less: Patient Refunds $ 31~8Ob0 Net Cash on patiert Accounts Cash Recelved as"a % of Revenue 74.1% 84.3% i6 Was* . J 'r Page 6' F L O W AGCD ACCOUNTS 12RECEIVABLE SUMMARY T A MAY 31, 1981 hi iy~ihy_ Paycg Current.._ _ 31- 6Q 6190 91120 121-150 w 150+ _ Total . % of nom. ModicAre $ 285j772 $ 148,084 $ 39,878 $ 667 $ 31276 $ 19,699 $ 4971376 2219% Medic6id 22,132 9,921 61415 11,693 9,493 599654 2.8% Blue Cross 92,731 60,868 191232 824 51039 12 178,706 812% Connercial Ins. 2991649 131,605 36,772 10,186 15,260 10,775 504,147 2313% Self-pay 304,887 126,973 61,711 31,912 69,968 114,828 710,279 32.8% Balance after Ins, 68,168_ 48,905 29189Q 29,121 18,393 23,171_ 217,&57 1010% 1,073,339 _ 526 256 $ 193,907 _ 8ij03 111 936 177 978 $ 2,167,819 100% k r In-house 3579918 Advance (Medicare) 271 938 1I Total Accounts Receivable $ 2,253,799 I A/R by % 49,6% 24.3 % 819% 3.9% 512% 812% f NumbO of Accouds, 8,387 Days of'Revenu'e;' Accounts Receivable 63.8 In-house 1 .9 Total ,E z ;r DATE 5126181 9:00: PLOW MBMOR I AL H 0 0 P I T A L PAOB t BAD DEOT TRAN8rCR RCPORTUuron Prrtpp;g= 5/01/91 •THRU 9/011/0, ppgqTTgg pp pp PA77IBNT NUMOER rrYYrrrr► PAT( VT 9TMEY1f~rrNAME* AOURCS7Y I87~AZ1PR NAME ~crYrYrrr A0MIN D DIBRAMED MIYOOFF OF'D ACC.UNT Pf% NUM58R NE, ADD R. ..»«..«.__.i_«_ 101 21973 p NQIZ 58 PAVTX 76201 DBN7ON 58 ' PAT% 7670, Balance3aftOr in4urancejOno re°ponse~l 007,44 76201 14/130 9/21/80 6/26/01 L662.05 10, 9211 A~IXANOER URSULA 76201 ~ NT~NOOR . WILLIA 9/ 4 p1ERCg I CB 0 Nt O N Arrangements not kept t7M YN lot 23761, 1~N~ONVBYCAMORB ' BARBARA76701 DENTONUBYCANORB , V_NCEN76201 ilnebl10/60cate2/16/00 5/26/81 270,10 TX e to lot 24074 ADALL690X 120 KRIBYIN DR~~IA OX 170 AROYLB . CARROLL 12/00/80 12/07/90 5/26/01 39.00 ; pp YX 76226 A oY, TX 76226 No response to o0118000n efforts. 201 26103 BAjNNyAq CANDY 1/28/01 5/26/01 63.60 ROANQUO T% 76266 Rq TT No response to collection efforts, 102 20t7 f T Y;USTOM PLACE ViR7XNIA7620, 1094"OUSTON PLACE O~I7%N x7620, Arrangements not kept /80 5/26/01 28x3, 00 201 20$05 a EANt£NJALIU.ABRETR8A4 OL 7X 75065 G EWDALIASRBTREAT' OLTYN 75065 4/16/81 8/26/81 40,75 Unable to 10040. { BRIgH 12/01/80 12/02/80 5/26/81 1x5,15 101 11923 IRV CLOVER LANE 1 W1LT%AM 76201 'JOj CLOVER LANE pT% 76201 Balance aflOr lnsuraac@t no response, 3/26/81 30.00 201 25963 N NUOX 109 ACORJ MHPKM T~ aDOX 105 ACORN MHPNNIC 3/73/81 IINTON TX 7620f UN ON T%' 76201 MOVedt loft.n0 ad4ress• 201 25008 RpAg LL VANNI ~jOAD VAN N203 ' VANNI 1/71/81, 5/26/81 170.50 NTO YAN M203 TX 76901 BNTS TX 76201 No response t0 collection efforts. yal 201 27896 t Npgms TAMT% 76201 ~ NTONMB / MITXEAL76201 UAabl@2t0 locate. 5/26/81 63, 00 J 202 22692 99 TL R C JAMES L i JAMES 1/17/81 5/24/81 20.00 LR VILLItB' N1,7 TX 75067 L~Wt~~ILL68 Nil? YX 75067 No response to collection efforts. i 203 6734 B LBR L0R1E LEROCK1N05IR0 ' NANCY 1/21/81 5/26/61 01.97 TjCKiN0510 0 YX 76201 MYeN TX 76201 No response to 0011e0tion efforts. I j rxr PAGE 2 DAT$ 5/2b/B1 9100: FLOW MEMOR I AL HOBP Y TAL DAD DEDT TRANSFER REPORT UuFAAORNpPPrEEpRIOD 5/03/61 THRU 5/Oi/8l pp pArIENT NUMggggR PAC YT ST $iSPx*NAME* ADDR**C1TY.O R AZSPRrNAtME.Y**..... ADM17fF.6 DIBCtAlAROED WRITEOFF OPDA ACCOUNT I PFX NUMOER NAME'_ADhR, YMrrrrrrw-r.nr--r 4291QD _ r 5/26/81 90WAAD CyyOI~LyyI{4UL KEY SANE EDWARD 12/31/80 203 21964 ALLbtMBON t ?NTONVLKEY LANE TX 76201 S~EN0~~ TX 96201 No response to collection effo5/96/B1 40, 30 t CCASTgR JACKIE 3/3t/U1 , 20t 26227 Q T RVODELL V[DTX 76201 J12 AVDDELL 79 76201 No response to collection effort" /fi/e1 y~,00 Lit ASALI r DEDDIS 201 25148 12/27/80 } QBALI r DEBDIE pJOAK YX 76262 RQA N OAA T% 76262 No response to 101/20/01 efforts, 9D0 60 [ ~X 1/36/83 l/20/81 5/26/01 4 ' DOD 5 ti Bt'OON YX 76204 No response to collection efforts. 150.27 16 76240C TV pR436 101 25753 HA C RAY NEE~VLLB r MELTXN i 0 .'MARY tCiOIAtN1ILLOR r 000 OLFNN 12/0'3/80 12/06/80 0/06/81 f0i 39070 ppAi TX 75065 4AKE 0 LLLAB 7X 75065 Arrangements not kept 5/Q6/8t 127.00 0 gg CoHgANoBLRUDDELL #5*/ r GARY n 1/18/.61 701 29795 G A JNRUDDELL M59r QARTX 76201 D6NTQN TX 76201 No response to collection efforts. 49 30 aDHOAg% gq . CABTU,LO 12/27/80 5/06/63 203 2276 g b6 r CA91%LO 75034 PA1BC 6 TX 75034 No response to C011ectiOn efforts. 0 5/76/81 96. Dt1 002 24769 $HAOVSp OLO7%A 75034 RSD X 916 CATX 7 IQ/23/110 pR~gC X 916 TX 75094 Ro'response to collection efforts. 79 00 H NAULT RICHARD 10//114/ 4/60 10/36/60 5/26/81 j 141 11618 Hpp NBVL BIRD DRAD 0 p VEOIRD TX 76701 881ORCO after insurance; nO response. .ENTO~ TX 76203L'7N~1 1/06/61 1/26/01 $2.00 ;I k ! 201 21147 REgq6pNp~X 31• MAYHI~.LMELINOA ~AEESIIIX at MAYHIL~. A TX 76201 No response to co110ction efforts. NTON TX 76601 D N ON 1t6 60 ' & U DL&Y r JOHNNY i1/22/ti0 31,/75/80 1/26/61 i 75004 F IICO TX 75034 'No response t0 C0114ction efforts, balance 44.40 ' 102 19644 i2COEY RICHARD KEN after/110yon~0. 5ia5/81 i i C ARDY 261 05790 ppRDY 1114 8 07 M99ADOW RD 0A. ex1 f S07 M$AD0 RD 120 TX 75,12 LLA6 TX 76110 No response to collection IffOrte. ALLAB , JKRRI 12/03/80 0/26/91 Q01 94427 ~~AA 614 JO YX' 76201 + N ~ 634 TX 76003 No response to Collection efforts. . . 1 I I f r 1 F 10 , . , DATE 5/26/01 9:01: p L 0 W M S M 0 R I AL H 0 9 P I T A L PAOR 3 f DAD OEOT TRANVER REPORT r7R PERIOD S/O1/Bt YHRU 5/31/01 ; pq IENT NUMORR 4**Mw4wrw PAflgqY. T AMB Awww r*wr *wwwwawr ONpRANrpA NAME rwrrwwww pprg Dgrg ap SALANCU Pl~X NUMO NAME. ADDRr v0[ Y ZIP NAME ADOAi CITY Tr 11p ADMt7TED D18CHA 06D WRITECP7r OF ACCGUNT NNY Y~r•NYY NN ....YY ......Y'I YYYtiYYY pYN1Y~NNYYY I 201 $394 AARK WOOD r RONITA W TON WOOD , ELLA 12/16/00 0/26/8! 6?, 40 2 A. D NAN TX 76201 AR TX 76RO1 No response to collection efforts. 1 23750 fiNOO11T WORTH DR M46AT7% 76201 LN?ONT WORTH JR N46KgTXETH76201 NO Y63pOn9e t0 collection AffO ts~ then moved, 43.50 1 r left n&address, 201 271004 OIN ALQERT IN r ALBRAT 3/15/81 6/?.5/81 174.00 lCCW1 AKea MH0N321J tN LAKCS MHAM323 Z ' INTX 76201 NTON 7k 76201 Unable to locate. JEMELIA COOK , loony 10/12/00 5/20/01 78.50 ` 202 11152 aq0q y~ .8YCAMORE lqq2q W SYCAMOAE ' DEN QW YX 76201 DEN7ON TX 76201 No response to Collection efforts, r - 202 11906 pan ,'DRANDON Op9RR , JANICE 12/27)00 6/25/81 37.00 ; uo CHARLOTT ' 2 CHAALOTT EN TON TX 7b201 PON TX . 76901 Balance after lnsurancel no response. 901 19470 OND LP 280 01151 CARTX 76201 I DL P 280 NMO TEAR 7XY 76901 No reSpbnge to collection effort$3/81 36.00 } 202 6200 yDAL NNp , JIMMY TON r. JIMMY 1/14/01 0/90/81 72.7'5 { n k NE TX 76201 11NTONSE TX 76201 N0.1'esponse to collection efforts 101 94367 NIEL r OERENA ANIEL r WILLIAM 12/02/80 19/00/SO 0/25/01 1020.70 ~~N01RObX 701 T% 76266 IN RSOX 701 TX `a ~~gp y 1E.266 Arrangements not kept, N 40i f13b0 e40 NA I r KELLY MARK TX 76201 Nor R ponBse to collectioe afforts~'gi 103.00 g p$ f 401 95154 b j18 JEER P DONNA TX 7$067 L8 18VI~jj44LL8 ' nITXY 70067 NO 19/29100 response t0 Collection eff0 tc~/91 03 QO 1 29006 QV10 M"Q V~j9 r CHH RLUS 9/02/81 5/25/01 049.73 '4 ENYONOT 104, ACO~iN RAV%H 769Q1 NtOh07 104 ACORN RNC~X 76901 No response to collection efforts. 101 ' 224922 JgA`VV18 , WINSTON DA 18 'r WINSTON t9/19/00 12/92/50 0/26/81 21.00 DINV&SYCAMORE 02 TX 76901 WT~N SYCAMORE M9 TX 76201 Balance attar insurance; n0 response, j r r f. i i DATE 5/26/91 9:01: FLOW MEMOR I AL H06P I T A L PAOE 4 NN pp yy 77 gg pppp SAO DEOT TRANSFER REPORT pFOR PERIOD 5/01/01 YHRU 5/38g1/61 ppTTgg DROOP; PpFXENTNUMOER 4 4* NAMP~4ADCRPAC~7 r 6TMEZI,P*NMAMBo AODRe CITY OgQRAy MR NAMIi ~N+~rtwrMM ADMf~TRD DIOCHAROBD OFBAkCCOUN-r aY~ .....,aVYVVVYVVY.YYVaVVYV VVYV~YVV V..VVV..YYY~VV VYVVYYVVV.1V VYaaYVVYY YYMMMYVV VVYYYIYY , YVYY..... 8g8gry0o8g ~ , 2/0/00 101 24730 ROCCLALTON N247 ' CLAYXIA70006 CARROLRfCM Nit47 LOU 75006 6alanoe of ter insu anceo no r sponse l 104,57 LL , 211 6452 pd BON , RICHARD. $`ELE pN RICHARD 3/06/01 5/26/01 560,00 + $1 TtNaDELL YX 76201 OFT NAME T.X 76201 No ro ponse t0 Collection efforts, 101 86062 L~ iSLE CHR11;7INE D tSGB LARRY 1/77/81 tY29/61 5/96/61 966.45 $ 4y~ SYCAMORE A- 4 y~ SYCAMORE 08 D NTON TX 76201 D NY TX 76201 No eOSponse to Collection efforts, 1111 201. 26062 D~NTU7JESYCAMORE Np CNRT%TIN7b2ot DiWh SYCAMORE 05 LpYXY 76201 No response to collection effert b/sl 467,70 101 44754 f0bY Hx 4 KATHLEEN pD~T 0 1074 THOMAS 12/14/00 12/17/00 5/26/69 1052,23 I ~AttK~pDA~LA6 TX 75063 In.AK~ DALLA6 TX 75065 Aerangemehts not kept, 10; 24322 RRIBCOOX 24 , bONYxD 75034 pJXLC811 24 / Dq7%Lb 7R 12/1/0 1/02/9 5034 8alanco after insuranceo no responses 2x0.77 201 84415 MAN"' 20 , BENNIC ROOSON , CHARLES tit/03/BO 5/26/91 16, 00 R7, 4 ' qq 20 1£NT Nlag Yx 76201. nsNTON TX 76201 Balance after insurancol no response, DiPi 204 7064 ojjg'~ HICKORY ' eCLYXN 76201, 1 NY NRUDDBLL 020 EI Tx EN 76- 12/00/00 801 NO rspon6l'to collection efforts. 61. Do j 203 23051 DUNN , JAMIE D ON JAMIE 1127/01 6/26/61 42.00 8g1CHARLOTTE M9 I` CHARLDTYd N9 N~ON 7% , 76011 N70N T% 7666' No response to Co1lPctlon efforts,' ! t01 25627 DO f HAN i DANNY 1X5111q1 1 DA14NY 1/19/61 1/26/91 -4/26/01 642, 55, R gMB TX 76079' tl19E TX 76060 No response to 60116600n eflo'rtso J. 25405 ED6 f UPONACTU9 C1RC4j MANDY Tx 76901 1BN ADS TONACYUB 01RCLd, YX bOYLE 76201 No 1/04/81 response t0 Collection efforts, 5/96/61 12,00 i 111111 } 201 22645 jjRQ /5'/80 N HARLOTTB ' ROOSOVBL762~~1 jj' NHAALOTYE NO x ROtXEVE76201 No4etpone t0 collection affOrtb/63 904,50 102 DRPD L 110110104111 YX 76201~~jTa~NN1N / gDTXtg 76601 Nore/1.7/1 MOM spoge to collection efforts, 1596.190 N w~M.M,~.~, _.,a_..__. ........_._.__..u.... .......~....w..t.ew.M.~.'.Y • J.Ipll{~I~iiIL,MI,r~`a.YtYVHbw, L11-77` r1 04/ DATE 5126/81 9: Ott FL OW MEM0R I AL H 0 8 P I T AL PAGE, 5 OAD.09DT TRANOFER REPORT FOR PERIOD 5/0.1/01 THRU 5/01/81 pp rrpp pppp~~gg pp TTgg nno~rr 8A ANpg pp7IENY NVM ER wwkwNYwrw PAtjjj TNAME'wrrwwwwrr rrrwwrww O11RAtYOR NAME rwwwwwrw ADMf7TBD 0I0CHAROED WRICEOFp OF ACCOUNT SP + ME, ..«.«....«ti«.. «M« PFX NUMB R AODR, 9TZIP NAME, AODR~r - CCTV_..___ « NAMY, RTZ 12/10/80 U/15/80 5/26/81 642.05 BL tof 23312 TOMMY 76227 AVDAEYOX 64 TOMMY T% 76227 No response to Collection efforts. AUO CYOX 64 P GARY T 11/28/80 1.2/13/80 5/26/0! 1784.05 E% OARY T EP CORONADO 103 [2500 ``16 CORONADO ttbb DEN~ON T% 76201 ~EN ON TX 7620f No response to eoltectlon efforts. /Go 101 71871 3f~NALADO VICTX 76401 u f iD0DZIN00 DOTXSE76201 NOresponse to ollec ion efforts;/balance 40.09 ' 101 23280 F 1A'M1yl~~ . DANIEL. tgiSO~jAgM1M1~H , DANIEL a1~~7~7~~a~c~n/25~00 S/76/0i. 93.00 a Y T% 76201 DHRN180 Jtt ' C T% 76201 No to Collection ef4$It~y/01 S10.tl0 i 401 26009 F~UMJ37 . ROYT% 76249 RRUM$97 TX 76249 No response to C01100ttOn efforts lot .20032 FA 1 CARL 0 K MARKALETA 10/17/Bo 10/21/60 5/26/01 94,99 , N, 0 'DEN 0F(SRTH BELL AL TX 76201 pIINNOSSY TX 76201 No response to Collection -efforts. E ET 1/12181 j 1 D OVpo0C9T7 + TX 76201 NOYespOnen to collodion effortset b9 00 75640 1 GMqtON 9COTT JOE T% 76201 B KATHLEEN' ~jLYDW i KATHLEEN- 12/12/00 5/26/01 47.10 2 0040 ~ Q7 upnLAND TX 76201 DRNTpN00LAND T% 76201 NO response to 0011OCtlOn efforts. ~ F! 1 72406 21'X4 8aX 17 ' JOYCE RO7X4 tl X 17 ' Joyce 12/28/00 5/26/01 70.00 [)Ec AR Tx 76234 DBCArU~ TX 76204 No response to COllOCt1On efforts, 201 72138. PppA K KURT AN3t „ NANCY 9/10/80 5/26/61 52.11 24N 0 AYEWDOD TX 76201 N4D AYBI~OOD TX 76201 0916MCO aftet WVA I'll no rWQhpe, DDss q p 5/76/81 00.60 , 402 13221 NT UNCAN K1MrXRLY7b20! 91NTCJNCAN ' JAT%0 E76201 3a12a Ce/After in9urinCll'00 r89pOne. { 101 23990. J6COOx 167 D89TX 11034 18CDDX 167 ' PRTXQI075034 No4respon a tolCol2lect on efforts~81 7eP. l0 NINO 701 15595 QARCIA i 99TELLA pA0~CIWWaaODPORD ' WOW R 1/t6191 5/26/61 91.45 } gtlODFORD T% 76201&NTO}f T% 76201 No response to collection efforts, gTuNN I . r ' PAOG b DATE 5176181 90S; pL tlW MIiMOR i'AL H08P 17AL O'AD 099T TRANSFER REPORT FOR PERIOD 5/01/81 THRV 5/0311g/81 pppprrgg MTV pp DAL ADMDYTED D18CHAi10ED Np~V X DF ACCOUNT pM&'aawwwraaa wwrwawaa 0upRANTFR NAME araara►a DA PAT irraa ANCg ENT NUMDR aaaaa PA~~•ttgNNY Z1........ PF NVMDE NAME. ADDR, GSTY, %7 «YIP««NAME: ADDR,»C17Y.«9T««_ _ « DENtJ19 Ag R , E8PERANIA 1/20/81 5/26/81 159,60 TX 76201 ~ja %F 08TONE TX 76901 No response to Collection efforts. 201 15994 jiliA EDSTONE 5/76/81 47,50 t , AL1 4/06/81 9M AVENUE E APT 7 403 28244 12HpMAVENVE E APT 11 MAV I Tx RA ' 76201 ENTON TX 76491 Unable to locate, 5/26/91 64,00 NTON HtgAqJOI , WALTER 27490 14A I SC O/15/81 1 N r NALTGR 201 t ELM 03 ELM 03 TX 76401 TX 76201 Moved; left no Iddr89t, 9 4NgdN pENTtl ~ 4/30/80 5/Q6/81 137 50 PA t5601 No response to tolleation efforts. {416, 80 ' 204 42A92 HbAp E pCEL M16 SAM TX ,76201 IALE Y NE611A SAM pADIN A~OjN LOUIBE. 1/14/81 1/05/81 5/26/81 F 105 9631 A0OINnX 1703 , LOUTX ~E T N~ 1703 TX 76801 No response to collection efforts, UNA 76201 /81 7229,60 i PAUL 1/27/91 2191YOS 5/26 10 em HAY 000 , PAVI Nl!Aj tlW18TERfA T% 76201 Arrangements not kopt 17NOW18TERIA TX 76401 PEON Q/46/81 is/4b/B1 5/26/81 166,50 DOROTHY DE NN g r p r %)IRRY WHTES4LOOX 24 102 205S4 NWN09OR 76401 t NTON TX 76201 Unabla to locate. JOHN 1/07/81 1/09/81 5/26/81 1334. 40 T 00 N 0% t 101 25472 y r JOHN 11Q W NO STRIZET TX 70027 Movedt left no address, 1RVIN0 7TH STREET TX 75027 ~ftVN0 4/2b/8f 264.37 1fi AME8 r LAWRENCE 1120/01 ' LESLIE Q TX 76201, Ho4ed1 left no address'. 24 202 70803 9 Tb N OOP1289 MH10 YX 76201 CE,NT~NDP 288 41110 ,00 5/46/81 8/16/80 k RNY~ CM16 r TX 76201 Moved} left no addrdSl. 1 3 gpUTH POND. 201 21092 SgANE~~TH POND , 9RENT 76201 P N=tlU ~0 4/25/81 5/QB/81 39 00 EN70N 8p AN TX gg pp MN 201-20763 K LMOpa$ 'DAVIS TRAILI DAVIS TAAILEAt zH 76201 taN 7X 76701 Unable to lOtatt, 0/200t 38.00 1E NYQN K)"in Q06 1117 , qKq 1o11 nnu~1pHH r 01JEN' qqddo ~tlD a OhEN 76904 0014 1 ollocate, D NT NRtlUC Tk 76001 pItNT N T% 5/96/81 365,12$ 1 r DOSCRAH 1/13/01 t 201 97454 ~JNJIJk U46 r D00OAAH76202 A L L06X 2040 7X 7b40Q Unable to locate. j i i ai ' i DATA{ $/2h/01 F 4 0 H M E M 0 R I A 4 -H C 8 P I T A L PAGE 7 TT gg NN DAD DEOT TRANSFER REPORT gFOR PERIOD 5/01/81 THRU 5/08g1/01 ppgqrrgg nn LL Cc Pp~%BNTNVMA4~;r V15,r~ADDRpACI7YT.STMEZIP##NAME,~ ADbR,r#CITY,O8ARA~rOR NA;4E ###kM### ADMITTED WAILED NR ROX OFBAW UNT rrr rw.,4 n.• ----rwnrwr- rrwrrr----rrrrrrwwrr 1111nrrrrrrwrrrrWrrrrrwrrwrlwrrr wrw~ 111.1 . rw~MYr~V r..M 101 29959 JJADYOOX 4680 OLENNA fiN7ONO% 4683 r OLENNA 76241 1/20/81 1/25/81 5/26/81 379.15 . N 76201 T f~ yy CC a Moved; left no address, 201 27076 iXiK6V0 LiA9HPN11?^. r DoNTX 75069 (OXEN L4ABHP w12 r DoTXA 75065 2/2@/@i 5/26/91 08100 Unable to locate. got 27760 ~~'SFSELTLIN2 Nt007JERTXE 75240 AL8A RELTLINE 0130~ JEROME 75240 8/24181 5/26/81 97.50 LLA 8 Unable co locate, 1 201 27354 MAAqRSHALQA4i2 N21gr DAVID M3AA43R3SHNANCUA418 N219 r DAVID 3/16/91 5/26/81 196,25 NALLAS TX 76220 DA1.LAg TX 75220 Unable to locate, 201 26165 MARTIN ELM N5 ' KERRY MAA I ELM N5 ' KERRY 1/09/8i 5/26/81 70,70 ~BNTOM 1'X 76201 UN~0~ TX 76201 Movedl'left no address, 1 23542 Mpp0 L Lr.AN r CYNTHIA ~ L LLHApNpr r CYNTHIA 10/01/80 5/26/91 60,00 LB I VILL CHHR TX 75067 L I ~ILL6CNER TX 70067 Unable to locate, 102 04584 CxxC6gLLUMRrygg r JENNIE C LURH P JENNI9 2/2,0/91 3/06/81 5/26/91 904.10 j IsNTONHP 007. 057 TX 76205 C C~OMHP TX 76201 Unable to lpeate 204 6553 MSLLRgA r AMANDA M LLEp , BILLY L - 1/31/91 5/26/81 60,00 71g4 OVDDELL 4 UDDELL 0ENTN TX 76201 DENYDN T% 76201 Moved; left no address, f 201 22602 U44 8 ALICIA VLLIR r CHARLUS 10/04/80 0/26/81 70400 N~~NX 20 MAYHILL TX 76201 EkONN% 28 MAYHIL4 TX 76201 Moved; loft no addrest4 I 201 71764 RICHSLsB7 r CAROL V2CJHNY89T r LEE 9/07/90 5/26/81 02,50 LAK DALLAS TX 75065 LAK DAKAO FK N5 TX 75065 No response to Collection efforts, tot 24391 N1 r KEITH A IMOT , RONNIE 12/00/eD 12/00/90 5/26/91 4939105 d D 14 N TRL PK M5 TX 76201 6 N" TX 76201 No response to collection efforts, R 10t 21792 ?fi9NNUj 288 K13 , MELINDA 76201 N~p A 208 910 ' RANDALL 4/08190 4/10/80 5/26/et 703,45 1 TX 76201 No response t0 401lectl0n effort$# 204 @659 pOpWTRNS r TERRY ENS r TERRY 10/05/80 5/96/81 114,00 DENVONOX'96 TX 76201 HN?J" 26 TX 76201 No response to collection efforts, ' 7 DATE 5/26/81 9i 01: F L O W M E M 0 R I A L 'H 0 9 P I 7 A L PAGE 8 DAD 09DT TRANDFER REPORT FOR PERIOD 5/91/81 THRV 5/31/01 PATIdNY NUM R ~4iwrsr«M PADjEt~T NAME **0*a a*r Ot1AAANTORNAMLrrDAYE ppAfE t)ATgg OF DALANCI PFX NUMO NAME, ADOR, T . 9T, 1tP NAME. ADDR, STY. T, YIP AD LTTED DIBCH 09D WRITZOFF OF ACCOUNT r.w rrrrrr w r........................... .Y.....YA YMV-WrrW wrr. ,.W wW rM,wY pp rr , 202 13619 C EjNgB WORTH DR4VTenn 1WWNg ggFT, WORTH DR GSO6RY 12/24/00 5/26/81, 36.00 E EOFTN T% 76201 JENTg14 TX 76201 No response to collection efforts. N 201 24049 pApIRRg JOYCE P91 BETTY 11/ltd/80 5/26/81 16,00 ENTONOHN93N TX 76201 DEN ONOHN90N TX 76201 No response to collection efforts,. JJ 101 23794 P k D` O?pOSTERI JANSNE DBNTQ AMRBASS NNr1 RNTON~ JA7XNE7620S AItho/ao rra gements not kept, 5/?0/81 X2,50 AM BASS MN-[- TX 7!',101 D8 T :tlf 12225 NpTAC8A7[ON P. 0, Lop k N X 6205 4XI626201 ~BiOTATION F, O# 60 AND 12/01/71 56 Arrangements not kept, 5/26/81 31.00 RNA, got 24545 PARK IRH N i PATICIA BROWN µµ2gMM MARY' 12/07/80 5/26/81 113.00 L~WT METE TX 75067 42TWIMn9NV14LBZIe T% 70067 Noresponse to collection efforts. 204 7566 pINT¢NRNARtl , 'POET%AN762ot oBN70NR14ARD / POLLYANNA 76201 No /response t0 collection efforts. 129.50 i 201 26878 SAMPLEWS FRANK SAMPLES SANDRA 2/tt7/8S 5/26/81 86,55 I D~NTON PRARIE 08 TX 76201 EWA PRARtt: NB TX 76001 Unable t0 100te. ; I; 103 2981 RMMITH . TAMMY SMITH r MARVIN 9/29/00 IO/Ot/80 5/26/81 732.45 Di N?ONAPRICORN N33 TX 76201 p6N?ONAPRICORN 033 TX 7601 No response to collection efforts. ` Y 22920, TTAANbIFER . MARVIN SSTAN31SOR . MARVIN 10/13/80 5/26/01 48,00 t IRUM2 TX 76949 KRUM T% 762419 No response to collection Ofoets{ balance 4 201 59729 Ny9jLj8X 03 PATRICIA WySILggpp DOX 33 t'PATRICIA fASAMorane@- 5/246/91 im oo AVB E TX 76227 AVD BY TX 74$27 No response to collection efforts, 101 18673 AMD BAND r TOMAS ~~jjal~ORpAp'0 ~ TIM 6/05/80 6711)/90 5/26/01 174,86 8ND RS. TX 76259 P NDIR T% 746259 No response to collection efforts, TOTAL. SAD DEBT WRITS-OFF THIS PERIOD! 45937.95 ! , . HATE 0/23/81 M30. F L 0 W M R M 0 A 1 A L H 0 8 P I T A L PAOE 2 ACCOUNTS RECEIVAIILE ACCOUNT STATUS REPORT CHARITY CHARGE-OFF LIST, MAY, 1991 pp uu rroo qqn pp gg MMggpprrCC ppgg ~I r,t,~g p PAT!EPPxAIiUM9lR OUARANOIURRAQOAE98A+EPHONE!C O~N;pAYE MgtllCA1D N IN$ DU PATlNTDDU6 CUXIi,gjk~gD pQIECt 1 • gg pp IIgg WN"43901 CATLE~T VILCAO&V~A51'N10 CARLLT S as 2/10/81 900,00 Q WON TX 76;101 395 7941 22. 00 00 UO Indigent care. t gg p oo ttppgp QQ50 ANN SUE 1111LART4509 AN` 8 VILLAOEU F8 D 6 0 387 J236 00 t1.%t4%8Q 1, 00 Balance after Insuran e4.0 Medicaid18qg4, 00 arid , Ty~LAAD4599 ANIt VILl.AOEUB~7 D76 0 387 3SUR 286 00' 0%~6%8g $02247864 1 0,00 91 20 1038;00 It Balance after insurance and M@d1¢aid. 6g pp gg pp62 1101 307 } , Ii~I~LART459q AN~bgkOVILLAQEU6kTr07 3Q36 A0 +%~4%8l 502247864 00.00 '114:98 3 f f 1i:4, 00 Qg p 44$g gg ggRR qq 00 p gi Balance after Medicaid and insurance, nb qy SUE 11~LARf4'~A9 AND EN ONILLAOEU~ATTfD7b Sl 381/ 3236 0 0/W8l 502247864 30~:~0 148,75 'IM: C ~t ~y Balance after Insurance and Medicaid. 6 t0PAC2$1194 OLI Mt0VAK CAMhTC076201 447p2191 91 0% "%U1 100,00 4949,60 4969'60 Indigent care) 9111-burton criteria, 00 08; 00 00s7ACR tiA4 OLS!" Pt1A►t CA11AOHO OUADALUP 9b 9/11/81 900.60 1)N ON T% 76201 NONE' 38 A 00 y zp Indigent coral Hill-Burton criteria, a 1SipETdtfl30 HAt tIN~ONORMANCQPP6i 76201 LLw[$VIL 303E8393 & 8t J/81/81 DE Y 9014, 1 ~00 00 22, b0 151 >0 ccooo RR NKKgg tt~~ Balance after Hedicare and Ned (cold. 4/30/881 ;,6,: ~JgHI HEAMD VtILMOQatI777 ~ 76 90 00 R]~!~ , Lewisville P0114e Department, c , i iS1T 246290 00 I~~jj~ 8 921 COTT&RAL DtlNNfff (3 ~01~g%Og 100100 1fi r N TX 76201 209,00 0.00 uM G TY 76249 482-6x48 Patient expired; no r@sOurCest i0 K06n702. R1C R 8T p0 p0%KFT' W1LL1B M 82 2/81/81 t50,00 Balance after NediCa(r.1.00 6~~;0d 4 , S } j I i 1. ~ 1 ' ' ~ : i • , . I • , r.. . , 1 • r.. , . r • ~ • r,1 , • , r w i 11 1 • i ~ i . i, i 1 1 ~ ' ~ ~ BATE d%~S%O1 13'Ub: f LOW hl E M D R I A L H R 8 P I T A L PA08 3 ACCOUiJ78 RECEIVAOLE ACCOUNT BTATUB REPORT e PATI~W NANE 0uAqA 70R NAME pp/ qpM ATE MMggpp ARg p 1Ig pUgg ttNpp,3 ()Ugg TOT B1LLBR INOERE01' t AA~1', p~pX, NVMDER OVARAIJIpR A~pRk88 + RHONE R/~ D18. SATE MLD~~A1U M 1l~8, ~ GU6 PATIENT QUL GUR~1, DAL, PAT 11, ~ 202H~~9p100 CA301 ~ HCrPtiNf;e.tiHt.RpIJ CAViN 88 S/08/B1 900r 00 pg, 00 38; 00 D 7 N T:R 76x01 OOntOn County Jail, DO f : ~ DO~pN OV~OyA -C6a po t1OHO OUIQA 97 8/S4/8l Sbpp, 91926 ll.6lJt8VllLgIBTIAT,t 7J067 406-7408 8 Sby.80 160, D NN lndigent caret HItI•gurton criterial13g ~OtOHa~'91928 QUll.EwlgVIlE.NkElfi~tl'hT~ 780b7 49b~7408 4Z S/07/81 900x00 192,00 132~~5 ' 8 Cndlgent caret H111•Burton crlterta. EDW/i~taD2029, 0 NRV11310 6 EDWATD876249 4671b2t2 88 12/2b/80 24 ~ . S ,ti ~4, 00 24, 88 r ' lndigent cares low income. pp ~j~j pp rr pCC P204RI22g0'J4 LEpANE~CAl4.LA9~h~H7~D7S068 NONEARO 6~ 4/17/81 r 47.QO 17;0 . 8g Denton County~Jait. ' Oo~nl:S.l.0b22y a6QgNTnNL ~RI~dQ0TXL76801 9670727• 9Z S2/24/60' ~ Indigent 'caret Htli•Burtona 27it,~~ ~ 1~'4t $ p g 1 3qq 1 d o SOIY X67442 AL~~Ya n9X~S30RAY ALZEY ~0~ '~%~t%~f i~I~~499dQ i~b~!QS ~ 10 24. 00 ~ AnOYLE 7Y 7b226'4b4 7492 ~j cc pp Balance after Madlcare and MediCald, gg pa ~O1~~Q40447 `RflENTON' C6UNYY~iJ~<476401, ORGOORY gQ it 8/Ob/6l 1 I t,.. 1 , 98, OQ ~B; 00 ~ Lbnton County Jail, ' 1 y~NASig DA g pp b ~1 COUMTY J 8gg 4/QO/6S 900, 00 9~; ZOl 296152 ~~N7QNMCKINNEY Tif 76261 3828611 B Denton County Jail, 94,80 9 v j 11~ eg tl0 ZoR0~x9bt12 DA~Of ,BNMCKINtJaY TRU7bt♦Oi 387B6S1 8~ 8/08/.11 Og, DO 08; p0 66NNTTgqO pp p gg``,, Denton County Jatil 33 ~ ' i ~ ~O1Ig280274~ 414$QafiBVILOLO~~cr11u 46188 917A83l~424~ !2/29/80 SD0,00 Qbr98 36'~~ . 8atanee aftOr liediceid, ~ , r i r i,. 1 i _........,.....r.,...,r.w,.r....r....... c y .R~ 1 ' ~...xwp•w.r~.rwr- DATE 3/25/p1 14:07: F L 0 N M 6 M 0 R I A L H 0 8 P I T A L PAOB 4 ;AT. uu Ay4CCOUINTS RECEIVABLE ACCOUNT STATUS pREPORT » g p g J gg 114h. TppICT EVTFNAMNUMBER OUARANTURRADTDR9 OORSgA+EPHONE R%C D[S:DATE MEU12AIRR N IN9:I DUE' AJJNTDgUE 1t ~kLa /'AIO 491.38 'UT Is r01E 22uI97 Bf Z2~ AVE 0 LOVE BETTY 4 150.00 ORTON TX 76201 383 4261 Balance after Medicaid. tltl MILLE 124251 LE~ dR9Y7 111LL1R 76227 NONE LEROY S8 4/22/81 90,90 95:90 j Denton County Jail. Q }Q MJ~LE124233 LE82X 7 MILLER LEROY 91 4/18/01 900,01 79,40 T+. 9V 11,v pp - AU A34 7:('76247 NONE Denton County Jail, 201ER25gS72 LAURA 3 X OLVeIA ALICE 977 1/23/81 , 900, 01, 45, 00 65:I j8 HLAKE'DALLA c T.( 75060 NONE kill-Burton. op 33 DEB A L DC r1TDr4 COUfJT 82 5109/01 900, 00 08.00 2gg 8: S8 RpAp 4911 2 l S EMC 1N: Y 9 NrnN q g 'SIT" 76201 ~ Denton County Jail. o s 103YH2:4490 DER pp CAPRITMHM 3 MARVIN S2 2~25I8f 13D OD 60,00 1A6~:~0 DNTON T1 76401 3529074 j g 1 Balance after Medicaid. I WILLIAM 9 I%29%0f 900,00 11593.05 1 102TH183517 DOT IENVPTV14E O NTON TX 76201 353-4403 Indigent Carol low income. WIL 907 101"193317 DD2jNE NPTUNE8MITTX 76201 383L4403 SS 4i17iSl 900.00 Indigent care; low income 0 t29f 2S 3S, 3d 38:9 ' grORU RO RYpLo ODERT 8 S/ 16/8i 900, 01 204 '846009 TORS l~ Denton County Jail, DENYONrd/a~N cNf76abri 3g 8 TROMP N 1A1 fjq ON OARDARA 81 5/09/91 0$150 j 201 9918115 ~ TQN COUNT 01 T~'~P OI476501 uw Denton County Jeil. 44 QQ pg g 4311, Rp 4: CS rYLUR *1"1178 ppICHAROSON LUD6RTA 9 II~10~SS 900100 101 737354 RONRUOptiLL M#A 76201 Indigent Carol Hill•lurtgn, { •'f p ra.rra.wi~ir~rrrr.~rrra~r. urnrilw.M~Y~M1.Mrnv DATE 5/25/01 14;19: F L 0 MEM0R I AL H 0 8 P I T A L PAGE 5 ACCOUNTS ACCEIVAOLLECCACC~O}}UNT 9TATpUSg REPORT rrNNgg p gg rrpp L tt %C D18,OATE MFU``cICAT N l1s8,7 DUE PlATYONT DUE CURIi,89AL. PATIYECT IC14T NAME NUMOER GUARANI GORR DD RCpE08A+E PHONE R p Sl~ nEN "Ifkd ~AER•I, DSLLIE 99 I/ /Bl 900,01 124,86 1 1 114144 DENTONILLAO R@Y Te28l 383,829 6 / /9l .06 4. b ` Balance after Texas Rehab. 3 Y~jkK PAUL D 1'OAK PAUL 0 99 /09/0! 900, 01 lOS 773292 1002 5 ppR6NA 6 U/19/Bl 740.4140 QAINESVILLH TX 74240 660 6290 Balance after Texas Rehab. } i . 1 i , ' i • i 1 i I I i • I J DATE 3/25/81 14i21: P L 0 H M E M 0 R I A L k 0 8 P I T A L PACE b PATIENT CLASS COUNT PA;TENT IN$IRAENCE TOUQL OUTPATIENT 4 552.80 u ,00 LL5522.90 INPATIENT 16 190 918. 85 00 191 918. 85 EMERGENCY 15 e87,10 .00 887.10 TOTAL A/R 35 21s350.73 .00 211 358, 7y 0 I i j ~ i 1 F k: l 1 ~t to I p i ~r .may BOARD OF DIRECTORS USINESS MINUTES Date Page I'd I . - - April, i~ The Board of Directors of Flow Memorial Hospital met in 'regular session at 7:00 i pov on Thursday, April 23, 1981 with Mr, A. E. Wyatt, Chairman, presiding. Members present were Dr, A. M. Finlay, Mr. Brad Moore, Mr, Gray Shelton, Mrs. Mary Williams, and Mr. A. E. Wyatt. Members absent were Mr. Ralph Havenhill and Mr. George Hilz, Also present were Mr.% Wilma Fritz, Mrs. Gloria Madewell, Dr. Roger Nunn, Mr. Leonard Watson, and to make a presentation--Dr. R. J, Lee and Dr. W. M. Midgett. The minutes of the previous meeting were presented and approved without charge. Report from Obstetricians--Dr. Midgett and Dr. Lee were introauced to the Board and given the opportunity ty to to make their report. Dr. Midgett stated that the obstetric an'. are concerned with the increasing number of unassigned ('drop-in") patients. He state that to date this year, 15% of the deliveries have been from patients without a privat physician, He explained that the obstetricians are finding it necessary to unfavorabl adjust their office hours in order to take care of the "drop-ins." Additionally, the obstetticians out of necessity have had to provide backup for patients of midwives who come to the hospital with complications. Dr. Midgett stated that the obstetrician may decide to present this problem to the County Commissioners for some type of resol- ution-and asked the Board of Directors to support them in this matter. Some possible solutions were proposed and discussed. Mr. Moore, however, asked the Administrator to contact hospitals with similar situations to ascertain what other solutions might be available, Mr. Watson was asked to mail this information from other hospitals to the Board member's prior to the next meeting. Finance Committee--Mrs, Fritz presented the Monthly Financial Report and noted that the averege dally census for the month of March had been 90.5 with year-to date - f being 97,1, The Bad Debt Charg&-Off List in the amount of $15,709 and the Charity i Charge-Off List in the amount of $75,735 were presented and reviewed, Mr. Moore commented that the current write-offs of 12.2% seemed higher than last year; howover, Mrs, Fritz responded that they are about the same. Some further identifying informai- s tion on some bad debt accounts were provided by Board members for assistance in collecting the accounts. Mr. Watson presented some statistics concerning the total cash received during March. He noted that of the $851,646 which had been collected, $761,233 had been collected by the Business Office, Including the Out-Patient Clark, Emergency Room Clerk, and Admitting & Dismissal. Mr, Moore moved that the Finance Committee Report be approved; this motion was seconded and passed by voice vote. Foundation NOminatin Committee--Mr, Watson announced that the Foundation's Board-'o Directors had appointed a ominating Committee to make a selection to fill W1 i the vacancy in their Board created by the death of Or Holland, The Foundation's 1 Nominating Committee had reported that they would suggest that Or, P. J. Montalbo be appointed to fill the vacancy and asked for the Board of Director's consultation regarding this appointment, Mr. Shelton moved that the Board of Directors, in I' agreement with the Foundation's Nominatingg Committee, appoint Dr. Montalbo to fill the vacancy on the Foundation's Board of Directors. This motion was seconded and # passed by voice vote. i } Safet Report--The minutes of the April 1 meeting were presented and reviewed. ? ( Copies of the summation report on incident reports for the month of March were reviewe 3 Mr. Watson stated that the Safety Committee has been studying the bomb threat pro- cedures and actual bomb threats at other facilities, Mr. Moore suggested that it migh be worthwhile to install a recorder at the switchboard wh h used if a bomb threat is ever received here, Mr. Moore moved that theIgo The accepted; this motion was seconded and passed by voice vote. ,ri w. , y MAY 2 6 1981 ' q,r p•BI6 ! Rl1:.: Co \tP.r hUYn 4 HN/IHV V.1.1, WHAGER'S OFFICE 9 ,3iNY8 1 BOARD OF DIRECTORS ' BUSINESS MINUTES oa, A ril 23, 1581 P 2 Utilization Review Report--The minutes of the Tissue and Transfusion/Medical P,ecords/Uti izat on Review Committee of the Medical Staff were reviewed, The statistics regarding admissions and lengths of stay cases were summarized, Mr. Moore moved that the Utilization Review Report be accepted; this was seconded and passed by voice vote. Medical Staff Report--or. Nunn, who had attended in the absence of the President of the Medics Sta f, Dr, Short, reviewed the minutes of the Executive Committee and the Joint Medical Staff Meeting, He presented applications (or re-appointment to the Medical Staff from Dr. Mark Miller, Courtesy Medical Staff, Emergency Medicine; Dr. Silverio Obaldo, Active Medical Staff, Radiology; Dr. Mark Kardum, Courtesy Medica Staff, Family Practice; and Dr, Charles Wahlert, Active Medical Staff, Internal Medici e These applications were reviewed by the Board of Directors, and it was noted that they had been recommended by the Credentials Committee, the Executive Committee, and the clinical department to which the physician is assigned. Mr. Moore moved that the four physicians be re-appointed as requested. This motion was seconded and passed by voice vote. Another application from Dr. Ronald T. Wilson, Active Medical Staff, Obstetrics and Gynecology, was presented for appointment. This application was reviewed, and it was noted that it had been recommended by the Credentials Committee, the Executive Committee, and the Department of Obstetrics and Gynecology. Mrs, Williams moved that Dr. Wilson be appointed; this motion was seconded and passed by voice vote, i Dr. Nunn presented two amendments to the Medical Staff's Rules and Regulations and asked the Board to consider approval of the amendments. The amendments (see attached) Involved allowint; oral surgeonr to perform their own histories and physicals and provisions for physician coverage of the Emergency Room, Mr. Shelton moved that the Medical Staff Report bej accepted, including approval of the two submitted amend- ~ents to the Medical Staff" s Rules and Regulations, This motion was seconded and passed by voice vote. Administrator's Report-- ACHA Seminar--Mr, Watson reported on topics discussed at a recent American College o ospital Administrator's Seminar in San Antonia. He added that he felt that it was an excellent workshop, National Hospital Week, Activities--Mr, Watson announced that the National Hospital deek will be May 10-16 an as e the oard if they wished to host a "VIP Luncheon" on May 11 for the City Councilmen and County Commissioners, The Board agreed that this was a good suggestion and would provide an opportunity` for the newly-elected officials to become acquainted with the hospital and an opportunity to answer any questions they might have about the operAtion of the hospital. Mr. Watson invited the Board members to attend the Chamber of ;,ommerce Update, which will be held at the hospital on May 13 and the Employee Day Picnic on May 15. Specific information concerning these event will be mailed to the Board. Dallas-Fort Worth H-ospital_ Council Meeting--Mr. Watson invited the Board members to attend a workshop onmay 7 in Dallas concerning national health legislation and proposed changes in the health care field, Anyone interested in attending this work- shop, which is being sponsored by the Dallas-Fort Worth Hospital Council, should conta t the Administrator's Office for registration. l Public Relations Activities--Some Board members commented that the number of news releases concerning the hospital have seemed to decrease, The Administrator, however, reported that several releases are being planned for National Hospital Week, The Board members agreed that it is beneficial to have good publicity, I, BUSINESS MINUTES Del, April 23, 1981 r°ae Recei t of Count 's Administrator reported that the second quarter payment in thha amount o 88 had been received from the County and that the check had been deposited in the passbook savings account, Re uest to' Purchase Printing Press--Mr. Watson reported that the hospital's printing press is now non-functional, even though it has been repaired msny times. He added that this item has bean included in several recent budgets and that the printing press is used to print forms and other hospital documents. He recommended that a re-conditioned press, costing $5,750, be purchased, and this was discussed. Mr. Moore moved that the Board approve the purchase of the printing press as recommend this motion was seconded and passed by voice vote. I Auto Allowance--ln the absence of Mr, Havenhill, further discussion concerning E this topic as tabled. There was no further business, and the meeting was adjourned at 9:00 p.m. r ~ Mary Henderson Williams Secretary c I; gm F . l t ~ I~ r' i 1 to 1 , t t t4 ~ . I ~;r Y.. •<ss ~r -t. t_.:_ t.a-•:.• ..z~.=Y-.. :X~x".-~s~..-.. 14 1 •c .°_~L'Y:d.S'tY'F: A:'~-xa .VVtI)IVl 1. ~ r;.•B•9~0 r. , .1t w. f ..n..1r e.,+,nr. e k~ rl v. (underlined portions are not,^turre'ntly, included in R & R's) AMENDMENT TO THE RULES AND REGULATIONS OF THE MEDICAL STAFF OF FLOW MEMORIAL HOSPITAL 4. Dental Admission 1 A patient admitted for dental care is a dual responsibility involving the dentist and a physician member of the medical staff. (a) Dentists' responsibilities 1 (1) A detailed dental history justifying hospital admission; (2) A detailed description of the examination of the oral cavity and pre- operative diagnosis; (3) in the case of patients without medical ~ro-blems admitted by a qualified an approve oral su__rg~eeo_on, the- s or- and ii sical ecam~na on ma `die y performs an recor ed by that oral surgeon dental sta mem er; (4) In the case of atients admitted b aeualified and a roved oral stir eon the re-anent yes a eva uat on owe agent w a ropriato ocumentat~on n the atient's me~ca1 record~ ~r-t norm4ion Pe It v@ 0 t e C 0 Ce 0 anesthesia ma e e orme a ora sur eon enta staff mem er, his a _s_o~app lies for sc ar e o the at on rom e Dos -anestF s a care un (5) casesp of complete operative of report, teeth, describing the dentisthshalldclearly state technique, In number of teeth and fragr,nts removed, All tissue, including teeth and frag- ments, shall be sent to ilia ::,:ltal pathologist for examination; (6) Progress notes as are pertinent to the oral condition; (7) Clinical resume (or sunrnary statement), 5 (b) Physician's responsibilities (1) Medical history pertinent to the patient's general health and a physical examination to determine the patient's condition prior to anesthesia and surgery--unless erformed by a qualified and approved oral Suurgeoonn,, When the history andphysical examina on are erforme3 an recorded by a y s can the res On a dentist take into account "the recommen- at ons o t s consu tat on in the overall assessment of t e spec irfc rocs ure proposed and the effect o t e rocs ure on t e atient." Wh'ien ` s n cant me ca a norms it is -resent the na dec s on must be a y o n respons o the dent st an t e med ca consu tantA (2) Supervision of the patient's general health status while hospitalizeda medical roblem that may (3) Responsible if consulted for the care of aFar be preseen on a~slon or _lay may ar se n Tosp a za ion dents at ants. { APPROVED BY MEDICAL STAFF: April 21, 1981 APPROVED BY BOARD OF DIRECTORS: April 23> 1981 I • AMENDMENT TO THE RULES ANU REGULATIONS OF THE MEDICAL STAFF OF FLOW MEMORIAL HOSPITAL EMERGENCY ROOM COVERAGE (new section, between A and B) The Medical Staff will be responsible for recommending to Administration and the Board of Directors an a propriate primary physician coverage for the Emergency Room. The medical staff will also be responsible for providing a specialty call rotation schedule for the Emergency Room for consultation purposes, The specialty call schedule will also provide a physician with admitting privileges for any patient from the Emergency Room without a private physician who needs to be admitted to the hospital. All members of the Active Medical Staff will be responsible for emergency call in their area of practice-- except those who have been exempted by their peers in that area of practice. Rosters designating medical staff members on duty for primary coverage and for specialty call shall be posted in the Emergency Room, The medical staff committee responsible for the supervision of the Emergency Room will be responsible for making the specialty call rosters each month and for mailing them to the members of the medical staff involved. Y; s a E j F APPROVED BY MEDICAL STAFF: April 21, 1981 APPROVED BY BOARD OF DIRECTORS: April 239 1981 j ~ k E h E l i i f P 4 f F I. 0 IJ M L M8101LANCEASIiEETFI O S P I T A L APRIL 30, 1981 1931 1980 ih81 _1980 Current Liabilities; 126,785 I nterest Sinking Current Notes Payable $ 146,802 569,326 Current Assets $ 1059169 $ 5,373 Accounts Payable 516'877 108,657 Cash--Operating 7,631 213,,441471 Accrued Payroll 146,028 43,657 Reserve Fund 4,087 8,321 Payroll Taxes 58,325 1272716 97,341 Repair Fund 19997 Fees Payable 13,939 13,415 271,116 __312 9 9 Bond Interest Payable 5O- Group Health insurance 116 _51,001 Investments/Board Designated _ -98 Bonds Payable ___6 344,602 Total Current Liabilities $ 19074,687 $ 964,385 $ 388,401 $ Total Cash & Investments Other Liabilities: $ 127,257 $ 1210975 $ 2 0WS, 1 $ 2,050,780 Deferred Income 296,558 Less; Accounts Allowances e 15 225 390 Long Term Notes payable 352,025 560,000 Net Patient I;eceivables Bonds Payable 495,000 191,676 $ 139,445 Total Liabilities $ 2,048,969 $ 1,942,918 1 ables $ 210,7O9 f, Other Rece v 2731074 0 Inventories 72_ ,__505__ ~ ---69,-58Q_ , Prepaid Expenses capital, 3930165 $ 29807,784 $ 21597,726 City of Denton $ 393 165 $ 11696,871 1,696,871 total Current Assets County of Denton 240,461 2400461 Endowment, Flow Estate 1,868910 4 Fed, Grants> Hill-Burton 1,868,910 256,,371 Property, Plant & Equipment; 37,547 Grants 256,371 ' 3 Land 37,547 $ 4,6771103 Federal 373,300 (1,153821 4 , 010065 , 653 220 1 892 473 Pledges & Gifts 327,502 , $ Building & Improvements 31006j220 Gen. Fund Bal., Beg, of Yr (944,652) 265,596_ 335,273-= Furniture & Equipment 5 20 ,601,123 Current Year 3 297 198 Accumulated Depreciation 3 668 213---~----~ 309,925 Total Capita) $ 4'1" L"- 3 964 ~732 3j391 207 $ 3, 198 99 5,907,651, i Net Property, Plant, & Equip. 6 198 1 $$,907,651Y TOTAL OPERATING FUND L§ 99 i TOTAL OPERATING FUND + Current ratio 2.61 f ti r i i is 1 t , . fir, h I Page 2 FLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT i APRIL 30, 1981 CURRENT MONTH YEAR -TO -DAT_.E P R 1 0 R Actual Budget Actual Budget Year-to-Date Adult Patient Days 2,640 2,700 20,381 19,080 20,397 Average Per Day 8810 90.0 96.1 90,0 95.8 Newborn Patient Days 364 390 29307 21756 21601 Average Per Day 1211 13.0 10.9 13.0 12.3 I Gross Patient Revenue/Pt, Day $ 349.08 $ 304.41 $ 309.08 y $ 301.54 $ 261,80 Total Expanse/Patient Day $ 298.73 $ 251.70 $ 263.15 $ 260,55 $ 218.22 i p~ f E Month Charity Bad Debt Recovery October $ 28,023 $ 61,326 $ 79117 November 29,827 81,970 6,285 December 32,662 560439 5,249 January 7,929 79,034 13,313 February 319616 100,718 14,073 March 75,735 75,609 61364 ► April - 23,724 66,847 5,007 $ 2299416 $ 522,003 $ 57,398 i % of Revenue 3,6% B.3%" 1,0% ~s E , i i r l FLOW MEMORIAL H 0 S P I STATEMENT OF OPERATIONVAPRIL 30, 1981A L Page 3 Z of Salaries Revenue Revenue & Ben Supplies Total Direct Operating Daily Hospital Care 20 omits & Other Ex uses Profii. Loss Psychia WiC Care 5 $ 189,4 2 40,22 ` fi,389 5 8 OD/post Part um 43,951 23,115 49 23,164 88,394 ICU 5 45,468 10,636 11393 20,787 Nursery 2 39,800 17,051 981 18,032 33,768 / Neonatal Nursery 3 27,347 11,752 1,802 1,768 Coronary Care Unit 1 11,250 10,533 13,554 13,193 Labor & Deliver 3 28,286 25,149 314 109847 403 3 24,430 17,780 2'188 27,307 22 Operating & Recovery 5 45,2$4 13,768 2'628 22,408 8*0963 Emergency Room q 12,533 26,301 18,953 Central Supply 6 33,655 129850 209676 33,526 Laboratory/ Blood Bank l6 57,648 7,931 18,757 26,688 129 Radiology/Nr,clear Medicine 939107 41,672 41,672 30,960 Radiology/N 24 74,147 15,853 16,844 32,697 51,450 Anesthesia 3 125,243 93623 26,216 36,739 41,450 Cardiopulmonary 31,939 10,111 61869 16,980 84'504 Respiratory Therapy 5 18,178 24o959 99 12,215 5,963 47,912 51126 7,4660 ,105 Physical Therapy 1 6 11,945 7,494 15 840 28,807 Total Tuff- $M9 ~ 3p~g- 32 Deductions of Revenue $ 44,807 Charity & Bad Debts 97,851# $ $ 44,807 Employee Health Ins, Exp, 97,851 MediGiftcal Records al Records 279 299001 29,001 29,001 s Maint. 9,166 1,393 100559 10,280 Cafeteria 1,5P6 1,612 25196 29808 Plant 103999 23,192 24,067 47,269 (1,222 Housekeeping/Security Guard 14,675 49,133 63,808 36,2$0 Laundry 23,997 35308 27,305 63,808 Fiscal Affairs/Data proces. 8,334 2,145 10:479 279305 Business OirsCredit & Collect. ~ 7'719 1,283 9,002 20,479 Purchasing 22,878 8,745 31,623 99002 Personnel 11123 1,427 2,650 (31,623 Administration 3,163 2,247 5,410 52+560 Staff Education 61075 3'5132 674 (91,5,410 General & Administrative 79 1,766 1,897 '674 Depreciation 795 29,527 29 527 1,897 " 33 2236 28,732 Gain (Loss} from Operation 128,99`2'grj- 33 236 33 136 Nun-Operating Revenue 4 $ Foundation 21,238 1,033 03 3 22,138 Total r 815 134 4 1 7"" 4 303 =2L 7 r { f FLOW MEMORIAL HOSPITAL Page4 STATEMENT OF OPERATIONS/YEAR-TO-DATE, APRIL 30, 1981 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Profit (Loss) Daily Hospital Care 20 $-fs238s7l $ 630o693 $ 28,69 V-65879 Psychiatric Care 6 382,549 155,877 6,736 162,813 219,936 OB/Post Partum 5 294,621 83,770 8,134 91,904 202,717 ICU 2 134,875 108,194 7,599 115,793 19,082 Nursery 2 162,620 73,722 10,516 84,238 78,382 Neonatal Nursery 1 57,775 70,691 1,744 72,335 (14,560) Coronary Care Unit 4 2499721 180,389 19095 200,184 49,637 Labor & Delivery 3 171,955 111,734 28,251 1390986 31,970 Operating & Recovery 4 273,719 105,237 70,099 175,336 989383 I 1'mergency Room 3 1989939 84,248 146,502 230,750 (319811) Lentral Supply 6 410,197 535750 148,455 202,205 207,992 Laboratory/Blood Dank 10 611,066 - 287,939 287,939 3239129 Radiology/Nuclear Medicine 8 480,470 108,434 131,205 239,639 240,831 Pharmacy/Iv 14 863,816 649433 216,848 281,281 2821535 Anesthesia 3 1979338 75,106 52,307 127,413 699925 1 Cardiopulmonary 2 138,700 37,668 61,403 99,071 39,629 Respiratory Therapy 6 352,512 74,412 42009 117,121 235,391 Physical Therapy 1 67,611 37 659 3 242 40 901 26,710 I 100% $ 6,287,196 2,055,317 1,2 2,1~ ,327, $4 Z,9~s~;7U? ( Deductions of Revenue $ 324,779 $ $ $ $ 324,779 I Charity & Bad Debt R26,980~ - 6269980 I Employee Health Ins, Exp. 141,884 141,884 141,804 I Medical Records 10614 65,616 12,609 78,025 (76,411 Gift Shop/Grounds Maint. 103302 9,336 71166 16,502 (61200 Cafeteria 70,857 164,792 1689179 332,971 (262,114 Plant 104,487 268,770 373,257 (373,257 Housekeeping/Security 154,664 35,496 190,160 (190,160 Laundry 520529 14,339 66,868 (66,868 Fiscal Affairs/Data Process, 52,604 28,951 81,455 (81,466 Business Ofe/Credit & Collec, 145,603 662630 212,133 (212,133 Purchasing 10,340 6,076 16,416 16,416 Personnel 21,174 15,606 36,779 36,779 Administration, 41,039 13,648 54,687 64,697 Staff Education 12,005 3017 15,022 16,022 General & Admini,..a.,ve 13,900 208,702 208,702 194,802 Depreciation 210 9O2 2100_2- 210 402 Ts 5g,0 6 833,98 1,2 1,774 $2103 ,6 890,849 j I Gain (Loss) from Operation 68,853 Non-operating Revenue I6b,570 166,570 Foundation 30 173 30 173 Total 1 85:3 869, ~9 i d e Page 5 FLOW MEMORIAL 110SPITAL SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS APRIL 30, 1981 Current Month Year-to-Date Beginning balance $ $ 45,562 $ $ 22,839 Cash Received from: 8,198,315 Active Patient Accounts 904,350 57,343 Bad Debt Accounts 5,007 Cafeteria 11,499 73,998 Appropriations/Donations 59,415 1739793 Other 149292 u_ 231,975 994,563 5 741 424 63 Total Cash Available 11040,125 5:764!2 Cash Disbursements: 2,4070208 Payroll $ 357,874 $ 332,612 Payroll Taxes 60,315 Patient Refunds 29,289 166,496 Capital Assets 30,377 183,813 Notes Payable 14,521 11,969 Other 454,084 21508,45 Total Disbursements 936,460 5 660 698 Cash Balance 103- 1~r . Cash Investments 271,398 271,:398 Total Cash $ 3ZLO63 $ 375,463 Gross Patient Revenue $ 918,379 $ 6,291,942 Less Allowances 532167 12 422286 657 Net Patient Revenue ' 904,350 $ 6 198,315- Cash Received on Patient Accounts $ Less: Patient Refunds (2919891 ~ 156 496 ; Net Cash on Patient Accounts PO61 1819 6 % Cash Received as a % of Revenue 101•i~ 86.9 i; ,s , Page 6 FLOW MEMORIAL HOSPITAL ACED ACCOUNTS RECEIVABLE SUMMARY APRIL 302 1981 Primary Pal Current 31-60 61-90 91-120 121-150 150+ Total of A/R Medicare $ 194,110 $ 383069 $ 41113 $ 3,486 $ 344 $ 19,326 $ 260,247 14,4 Medicaid 31,462 8,860 16,663 39923 6,943 67,851 3.8 Blue Cry",s 91,016 37,225 19307 5,352 910 135,0]0 7.5 Commercial Ins. 282,137 909639 41,852 23,393 7068 31085 449,074 24,9 Self-Pay 3109214 890036 50,932 80,652 359269 106,801 6729904 37.3 12,1 6 _ 18 3 6 217,437 Balance after Ins. 83,380 42LI04 36,299._ 23,959 13 j-3,2 1992,325_-_- 306 3,_ 151,16b 136 842 bl 739 15 ,618 $ 1,803,323 100,0%~ 408,922 In-house (115,903) _ Advance--Medicare ! X2,096,342 s A/R. by % 55.0% 17,0% 8.4% 7.6% 3.4% 8,6% Number of Accounts; j nays of, Revenue; Accounts Receivable 60.8 In-house 13, Total 741 ~E f Fr; .r VA IM 41L//q{ 'LV;dgd; r L V W I'I C 1'1 u n I M 4 n u n r 1 1 M L rMV4 i 1 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT ~ ggCHARITY CHARGE-OFF LIST//APRIL, 1901 PAT~EPRFX, UMBER OVARAMlORRADDAES9A+EPPHONE R/ 0~i9. D ATE MEDICAID M II+8:2 DUB ATi0NTD0UE CUH~2,D tL fD AD14ECT AIg qq bg p M 18,00 t8. 00 ADAMS?68284 DANIELCORONA0OOA1017 DANIEL 92 2/21/81 206012403 150,00 DENTON YX 76201 362 0769 Balance after Medlcald, qqbb 73 ALDACq EL1 $Epp ALDACO ELISEO 97 2/12/81 434263884A 100.00 60.15 69,15 202 202306 1 1 WILLOWOOD Yk 76301 NONE 1 Balance after Medicare, 101RA278S56 DO34Ei0RIVERBRE67RADE tlOMINOO qB 4%00%81 900,00 1493,60 1490, b0 LEWISVILL YX 75067 271-2469 Indigent care; Hill-8000 driteria, Q DOMINGO ANORADE DOMINGO 97 3127/01 900,00 3 18, 05 ANtlAA201 ` 81$6 18.03 ANlD1REWS 9YH Y% 79714 8 Hill-Burton criteria, pp q 1010 290983 IM20g00NBAOI.E AROO IMOGEENE 82 12%0~%FSO 004206629 150, 00' t5. OD 3Dtb; $g UENTON TX 76201 387-2330 Balance after Medicaid, q g BISHOP JEny YAYLOA ROSA 97 / /81 900101 8052,85 90 2.85 101 169062 NN3bNA00BRU8H YX 76201 3826603 6 2/9/81 Hill-Burton criteria. 90YD MSCHHpg9A L DOYO MICHEAI 97 3/11/81 900,00 HAS 203 232775 52 ItENNET7 9 Hill-Burton critori 53.00 LEWISVILLE TX 75067 4364239 a, ` pp 1010K40739 JUaIL27tlpTD127ROCT%T76238 36519281 92 4%03%81 900,00 767,00 7x0;00 Hill-Burton criteria, BEtTO 03053 DAVVIB 52X 963DUTYON DAVID 9l 55%09%0$ 428•-10'-923 100-00 , 00 214.40 084:40 ~ AROYL TX 76226 7 Hill-Burton orlteria, 30:8 18111,79790 10R0118 A 0 9 UTTON DORRIS A 97 7/1q/pp 00 318,80 3S 101 r, 96 .7/ltl/00.' 1 c kk ARO LEBO% YX 76226 NONE qq gg Hill-Burton criteria, # 5 113 lO1A0221150 0U1oD2bUPLAM CAMACHO J88US 8 Y%j~0%00 900,01 745,55 NIA DENYON TX 76201 497-2191 Indigent care. I l1 i I f L a 01 a VIIIL 91 w11 V• .V. YV. 1 L V 11 L 11 V 1. • I. L 11 V J I I 1 11 L rhVd V, ACCOUNTS RCC£IVARLLpE ACCOUNT STATUS REPORT III,I~ aa 3 PAT PRFX. NVMD£A OUARANrORRADnROOSA+EPHONE R/C DI DATC P901CA[D M MC 2 SUH f~ATIENTDOUC ~vRR10DAL. jA?1M£C7 701 2OD679 LAANT 15AMAR0IECAg80N OARLA 46 1~~~~81 400.00 597.20 Sg7,20 C ON a TX 76201 NONE p g H1}1-Burton criteria. qp 10180256299 TIMEKA is MAROIECN38T% 76201 NONEA pb 14%d1 800.00 9NTON 943190 43,90 c g qR g Hill-Burton criteria. i02EY262717 J£39RS ROB TTAACTLOFF ARTHUR 8R' 2%1$%81 900100 1}11119 I'll: 16 SAN 0190 CA Indigent care, JIAYTOND9186 LIIt.11^CN LEMEdTBTON LILLIAN 96 1i?7 %8l 900,03 6941 A9 694,45 OASA99VtLLH T% 76240 660-4272 Hill-Burton criteria. HAS 20fA111%ol8 MIDINELL YONOXR23COLAN9R76201 MICHMICHELLE 987 3/29/81 900100 601 U0 55,00 Hill-Burton criteria, 10189266361 J03ENTONMILL COM07X 7b201 382M0004 p6 2~17~81 900,01 718.71 758 70 ' Hill-Burton criteria. R010N2B3114 gESNTSM COUNTMTJA%L76201 8R 4/16/81 900100~nton County Jail, 42178 42.75 TT ICpCH£43976 OL882 M1LL. CROCHCTT 04RN 872 1%gL8%81 414-94-9b4 100100 886100 13t736,~0 f t DErNTON T% 76201 8173827861 Patient shot man who shot him; then wont to g g jailE balance after Medicare, j p l0iRE267292 JANQAR UDR868 dUPAAR 77777 NONEB 8i 3%~3%8t 461-18481 100100 222.00 238a:S0 N AR Indigent Care. qq optl i F1 EY LUgL A FIULSY LUELLA 87 12/25/80 489322219A 100,00 14.80 196:80 2L 73209 QENT8NMCAN TX 76201 9661364 1 p~ Indigent care, 2~7 14R4004 LE%OR~ppL ggyy g6fpd LEONARD d .4/01/81 , 900100 fl8100 38: OS ' LA E DA~l.AB T% 73060 NONE Benton County Jail, 1 S . i : i T IJI 1 I ; DATE 4/27/84 10; 03; F L 0 W M E M 0 R I A L H 0 S P I T A 'L PACE 4 ACCOUNTS RECEIVABLE ACCOUNT STATUES rWORT PAT~EPAFXAMNUtiDER OVARANrORRADDRESS +EPHONE R%C DI- DATE MEDtOAID N TNB.2 DUE ATIDk7BDUE CUAR,BDAL, PIATIMEGT 208RI?29054 LEEO2ARD 0ypF4?A{Ipp LEONARD 87 4/06/01 4 ,78 LAE BLL ALLAB TX 7606'5 NONE 9 40.70, 40,78 rr q 7 gg Denton County Jai 1. 40 149HE600270 WID DNCRAWFDRDH TX 76201 0003872009p 3 9/Oa%76 $97, 70 ' N111•Burton'crlteria. 821.78 821, gg 2$3DR 2 16904 JOlot? REED j earXN76201 3JOHN 823940 87 12/92/80 301.22 28,70 08.by 20 7 3 Flow empioyeel terminated and returned to OttOROE µA tRt A A OEORTX 76201 082H6606 87 9/17/88 100,OODBRtOR State SCh001. 786.40 786, 40 101 220988 E1 f4NICH7 2 9/ 0/8 6014^.0261 7132'40 yy NN Balance after Medicaid. a01EN22b159 JU602CARDINALOAPTE-12 JUDY 87 10/04/00 160,00' 41,7 1yCINTON T% 76201 566 6000 2 Balance after Medicaid, 16, 00 16, p0 ~•1' HE1 233668 TRD 48WNOAK' OENETXC76SORE 401 COVNSEE.1 B6 10/21/80 11.80 CN 00 12,00 1 G Indigent care. H$OOES TROVETTp J HODOES ENNIS 9 4/82/ t 900,00 i 1 it 140228 3136 F~tAME D 4/11 709.30 E ENYtlry TX 76201 NONE Hill-00ton criteria, 1305.25 13 0, 99 JSHN60S0 CAST US M DENTON COUNT 97 4/14/81 2 3 v 060 9ALLAUA6ID8 OR, TX 76232 9 b2, y0 6.r+, b0 D Denton County Jail, JOHNSpk A N gRVNS N TAMMY 8 2/08/01 150100 i y ! 1 2b: 202 SH221 W HICK AY NN 0i 50 DEN ON 7 76201 703 2192 10.80 3 Indigent care. JONES RETHA J01420 RBTHA 9j 3/»'! 71 1 104307 ADRRQETtlX 24 TX 76227 NONE as 60.00 V Hill-Burton criteria, 68,00 i ,/p q 4 ae 19i~S304307 ;REAUDHDY 241 HwYE 476227 'NONE E"aE T 9j 4%04%81 900.00 993,10 923,10 Hill-Burton criteria, 'i i r l r I ~d k: Vl, i,. vl t.. Vl IV. 4V. I V V„ 11 Y 11 W 11 ! m L Il V O r l I A% U r1111R J ACCOUNTS RCCCIVAIIpLECACCOUNDT STATUS WPORT gg p¢¢ tt uu rr II LED , PATI%t'CT NAT~EPRP%~MNUMpCR OUARANT puu ON11ADD101RGaANiEPHpNG R%0 ni"a: 8A7O Mli010A1p M I+JQ 7 8U6 PAYIGNTDDUE CUNR. pDA~L 201ST263954 JAPOT40X 2g096LTWUNPATIO JANET 978 2/06/91 900.00 84.50 94,50 LL DENTON TX 76204 566-9912 Hilt-Garton criteria, RRY N7gN COUNYYOJY%L76201 LARRY 69 4/04/91 900,01 93.25 9.2^.5 2UION281097 LAO Denton County Jail, { 1C0OEOD0314.3 J tlENY3M 08, mbeoo 76201'NDN9 61 3%l7%8~' 100~10.01A 188,88 190 72.'00 7i:98 8alanca after Medicare 6 Medicaid. 201µg254508 - J121.QWERRMOUNDIM~TX8750:28 '114 436 21297 9 1/06/81 900.00 Denton County Jail, 361 00 38: 88 7 2016R25V572 LANgA4 b3 EXECLV9RA 7506!1 ALICE 94 1/23/81 900,01' 65.00 b5: 08 LANE DALLA6B "IX i R9CCCHARDB DOR7IS RICHARD$ DORIS 97 9/t2/7e 243487991 1?7,s P 9 630517 ARGYLE, TX 76226 6000000400 9 9/12/76 127.50 137,50 30g Hill-800A criteria, g6jHAR303o9 LYLLO 963 BUITOIJ DAVID 91 11/02/90 900.01 50,00 70:08 PARvYGE TX 76826, Hill-Durton criteria, p pp gg 2036 206073 HOORNY C~UNTY JATYL HOWARD 687 4/01/61 900,00 3.8.00 38:00 OENT2&'76201 Denton County Jail. 88 101cH2L470 o1D~ig916 SA+,OYXZ75034 3OLORIA 773767 8R 7 12/27/00 006541027 15p,ODGalante after Medfcatd, 65.45 67:;5 p CCD gg gg RR NN gg gHSRM^80073 SAN Y 'oo CDUNTVgJ+i1L ' SANDY - 967 4/01161 900.00 pg, 00 39i 00 29 B~D~ , IX 76201 - Denton county Jail, OARY lOiEV 7t24a JAMQNAHANB~ 1HREYX 79706 41544372048 Milt 42628 201 150,00 Balance after Medicaid110.00 a I° q.f.!. I A L H U tl M 1 1 A L 1 PAGE b ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT PATIENNT NAME ARANNOABrrooAA kAME R/CC ADMM BpATEg g{~jg MEDB CcARRE q I S s pVg CNgg DUE 7oY BrrL{{,ED NppIRECY PLAT. PRPx. NUMBER OUARAggNppUUI'OR ADBS + PHONE R/C DIB.DATE ICAID Y I~6.2 DU@ PATIENT DUE CUAft, ZIAL, AT M 1101e IAIL 28.7830 M1~42 ERUDETHMB OH MICHAEL 87 4/18/ / 900.01 qqg 9 4/ 1 903.10 4DD. TAYLOR AOpA Li TAYLOR SAM p pogg p Denton County Jail. tOl 22$748 DENTONAOEBRVSH T% 76201 382 669$ 96 18/?J/808 302,30 1099.33 109q.9D DO/g 270090 MADk0 INDV87R1AlE CARRIE 91 2126/91. Hill-Burton criteria. 100.00 $7, D$ D~NTON T% 76201 NONE ti~2l5 ealt0ee99 Balance after Medicaid. WHEELER YULLElfA WNg6 ER0 p 2UL6MA 9 2/21/81 130 204 x$491 Da0?"F T WORTH ~L1203 NONE .00 T 22,40 D2, 4N Wtt LIAMS QUggNrrIN V WILLIAMS OVENTIN S~ ' 12/28/80 Balance after Medicaid. 20~ 201744 '/lq PARK LN 1 1$0,0b 7q $0 DENTON T% 76201 00243666 16.00 12.00 IILI1192999, 1Rg Egg WILSON IRENE 87 1/ /gp 451 ,11) 87 0 0 Balance after Medicaid. p0g 3 AVBREYO% H3b T% 76227 8173652062 1121 6li0 8 1$8.80 40.00 848;00 Balance After MedlCaid and Medicare. 1 t i I i k tl r L I M L 1 y M U DATE' 412/111 1V; by: r u w I1 n rI u m' h a IN9~1g NCE YDUEL DU COUNT PATIENT PATIENT CLASS DV.00 234,90 8 234.90 00 221816.98 t1UYPAY IENY M516,88 1NpAYIGNY 23 00 972,28 s 22 97Z25 EMBROENCY .00 23, 723, 93 , TOTAL AIR 80 231723.93 ~ I1 ~1 , "Owl DATE 4/30/81 7;95: FLOW MEmon 1 AL H 0 S P I YAL PAOL 3 ¢ DAD DEDT TRANSFCR REPORT FOR PERIOD 4/01/81 THRU 4/90/01 pp PATIENT NUMppER aa~+++aap PAY 914T NAMi +zaaa+na+ aaaar#+a QUM1RANTOR NAME +aaeaa++ ADIDhlT;7Ep D[OCIAIAROED WIif EOFF OFDAACCUVNY PFX NUMBER NAME. ADDR, CITY, ST: 2IF NAME. ADUR,-CIT-ST_-TIP--------------- 201 24954 AMA JUSTIN HaRe qDAAIUET[N KAREN 12/20/00 4/27/9% 18.00 11 "4T,0AUSTIN TX 76203 lENTON TX 76201 No response to Collection efforts 201 24990 A04Y N SHIRLEY ADAY t SHIRLEY 17/0/00 4/27/81 36,00 903 gg MCKINNEY 903 9. MCKINNEY YX 76201 No response to Collection efforts. DC,NTIIN TX 76201 DENT ON 201 246tO AL K LAN1 MOHAMMED L K LAM1 . MOHAMMED 12/09100 4/27/01 36.00 414 AMPDDE4L LANE 41~ gMPDELL LANE DENT N YX 76201 PG T N TX 76201 No response to collection efforts. 201 2505 ANDERSON JUDY DNNDD}(ERTON , JUDY 1/20/01 4127/91 20.00 no4413 TX 76961 OHNTON Tx 76201 No response to Collection efforts 101 14369 M1PhRICle fi ROSA PARFI !0 . RAFAEL 2/26/80 4/27/91 600.70 7 6 PAISLEYQbb SLEY TX 76201 Arrangements not kept. D NTON TX 76201 NTO[t~+ ARMO'J40 ' . RONNIE 8/15/00 8/19/80 4/27/91 966.30 FEOOY W 77N 4OT66 101 20766 2200 HWY ONO 77W L0~ '66 2200 2200 CARROLLTON TX 75006 CAKRO~LTON 7X 75006 Arrangements not kept. 102 129H5 AT8HIVY 3051 ERICKA ATCH EY AARON 36/2^0/90 12/24/eD 4/27/91 353.00 t{ P O Ox 105t DENT UN YX 76201 DENT N YX 76201 No response to collection efforts. 2U2 23440 AVIRETT EMORY ppVIRETT EMORY 12/14/00 4/27!81 161.00 1 R 4258 WEST SHADY SH?RM It1 4 98 WEST SHADY SH D NTdN T 76201 DUNTO YX 76201 No response to collection efforts. 3 101 211100 AY~OX' DINAH' 66AO~ON'YAYOR MARION L 10/20/00 16/21/80 4/27191, 202.05 ~AFNESVCLLER TX 76240 NOT tVILLE T9' '5940 No response to collection efforts. 1 E 2202 10678 AR11~8'T~ ROBERT gARREITEENWAY R00911' 10/07%80 4/27/81 OP., 50 H11NWA1'10~ R NTtlN YX 7b4l 1N ON TX 76201 No response to collection efforts, f 205 1214 BMt i BONA ;ifs KRpBE DILLY 1/19%81 4/27/81 47.00 111 sKNYOVE ' YX 76201 Did TON YX 76.201 No responsa to Collection efforts, 201 29976 ECK YHRUSA pECK BONA, '1/20/111 4/27/01 82.30 1 17 f~4ofi 817ROSE iNr N YX 76901 DLNTON TX 76201 No response to Collection efforts. 102 6061 D N ONDT'42O Rower' o aYXA 762os DRNTL0Y 423 ROWS A~Tx -76201' Balance after inwa col errangementts not kept. 459, b5 r 1 } 1 J i, PA09 x FLOW M9M0R 1 AL H 0 9 P I Y AL DATE 4/JO/8! U. BAD DEBT YRANSFE- REPORT FOR PERIOD 4101/01 THRU 4/30/01 DAYS bA79 OF BALANCE 11I7 ED bIBCHAROED WRITGOFF OA_ ACCOUW7 1 ^rrM-^+Mr_ ADDAY F PATIENT NUMD9- aaaaaaaaa PAJ IFTl)f NAM& aaaaa+aaa aaraaaaa 0ARANTOR NAME 222222x2 PFX NUMBER NAME, ADD-. 0T1 21P NAME, ADDR. CITY, 8T_+ 2IP Y ...-~~"~,r0OLD1E. J DtlESTER CLIFFORD 11/19/80 31/18/80 4/27/01 x96.41 l01 x2 86 AOF.3 nO RY DOX 89 fK 76201 Balance after insurance) arrangements not kept. t DENTINX 89 7X 76201 DEN ON 83b. 49 phN1 LA AKIILA 2/02/00 2/07/80 4/27191 101 1x376 DONILLA RAV 1y~ SVILLF6 LEIJICVILLE YX 79067 Arrangements not kept. 162 EDWARD9 7X 73067 fil 4ARD 4/$7/91 63, 00 201 24912 DOtILET . KATHLEEN DOULST KATPLEEN 12/06/80 5X26 4ILOE OLNN126 TX 79206 NO response t0 Col.lection efforts. 54x¢ VSLOE OLItWlx6 7X 75;206 DALLAS 4/x7/01 101, 34 DAL A8 BOWEN WANDA J 11/11/00 11/12/80 t02 3918 10116 WANDA IM OE HICKORY TX 76201 Balance after insurance) no response. E E HICKORY TX 76201 DE14 N 4/27/51 13,79 DEN T IN 11ARK g4 2^ CORDOBA WITXLLIAM 7620.1 SNoI/respons19/80 e to collection efforts, 203 16097 yNION ERRYWOOq TX 76701 DUNYCWJ 117, 29 pEN70N" 202 23025 9q920 WOpDppUFF BOX 95Dp7XA D EAUX JERRY 1/02/81 0./27/91 79069 4 215 QODrUFF 0OX953107% 76201 Unable t0 local@. WSSVtLLE COLONY S0to 10/14/80 4/127/81 80.00 101 4899 DRF.NYIOLI2 WILLIAM DARNHOLTZ WILLyXIAM 76?O1 Balance after insurance; no response. IIOlUU W MULLOERRY 20 1016 MULBERRY pr,WTON YX' 76201 Di N70i1' 4/27/Bl 1x1.40 j ` DR'ICla COLETYA 12/..9/80 1 2pq 7x03 gtRRpN4 MORSE COLTxTA 76x01 ~VIS4 MOSS Y% 76201 Arrangemonts not kept. 1/1G/qt 4/x7/81 30.00 pENTON ~ 29764 OR ~ BREW ' DREW Of{QslNE q TX 75067 No response to collection efforts. 201 (NE ~ TX 75067 dn'1SVyLLE1N J LEWIBVkLL~II, CARDgg. J 1/09/01 4/27/01 96. 19 201 26938 qn DWIOHY P 0 i!O% 9 4 yX 75067 No response to collection efforts. pAOX $10. yX 79067 L9WTBVILL>s LAB OD"ILILLE pE- CA 201 x7586 CCnPRAL DELIVERY YX 2 5Y{(~L9 , PERRY 3/14/,01 4/27/91 96.00 T9 7b247 JUDY JUGTIN• TX 76 AL DELIVERY Patient refused to give information, ^x47, QEN{RAL `i JU8 IN CA9T>;;L1~0 JUAN 12/09/00 12/08/80 4/27/01 219.60 i ]ANA 101 2447 1509 M. COf2MICK Arrangements not kept. ONT5 LL4 ; A NtONCCOAMICK 76201, DGNT'ON YX 76201 YX 76201 Arrangements not kept, A/27/81 654,30 Jl1ANI N1YA, CA8 rF~n EMDRMICK JUAN Sol 24466 C11Ap~TSILrIIL?MORMICK' 76101 S~ONj~ INTO YX f 1 r I= t ti 1 BATC 4/30/UI 7: Dii: F L 0 W M C M,0 N I A L H 0 3 P I T A L PACC :1 ! DAD DCBT TRANGF01 REPORT FOR PCR101) 4/01/01 1'II1iU 4/30/01 PATIENT NUMOOR uarraurnn PATIENT NAVE r0r1?404rr raerrrno OVARANSOR NAMC rrrrrrrr iATC DATE DATE OF BALANCC - PF'X NU14UL11 NAME.. ADDR, CITY, 8I, ZIP NAMC, ADDH, CITY, .4T, ZIP ADMIIICU DIOCHAROCD WIr1T1COFP OF ACCOUNT 2 17048 CpCKRILL WAYNE CKRIL r WAYNE 4/03/80 4/27/81 J41.00 R pp, BOX 124 3, OX 124 DNNTON TX 76201 1) .NTON TX 76201 NO response to collection efforts. 201 25181 COIN BENJAMIN PARKr. BRENDA 12/29/80 4/27/03 43,35 2800 FT. WORTH DRIVE LOT Py"00 FT, WORTH DR. 014 DENTON TX 76201 OENTON 7x 76201 No response t0 collection efforts, 204 14807 CRCNBHAW COLBY CRENSHAIJ COLDY L 10/24/80 4/27/81 37, DO j 07.4 CARROLL 0222 524 CARROLL 0222 { DENTON TX 76201 DENTON TX 76201 NO response t0 CO11@CtiOn efforts. C 102 24267 CRISP SHIRLEY CRISP 'Y BILLY 12/19/80 S'2/20/80 4/27/21 2077,80 fl OAINVSVILLEE TX 76204 OAINCBV;~LE TX 76240 Arrangements not kept. l01 23479 DAMRON r WILLIAM RO98 BETTY 11/01/80 11/01/80 4/27/81 267,10 BOX LITTLE Box b ' TTLE ELM TK 79066 LITTLE ELM TX 75068 NO respOnso to collection efforts. L 201 1071 DANIfLS SHERRY DANIEibB RICKEY, 8/08/80 4/27/81 116_40 j KR0M0X 454 TX ' 76249 ~RUMBx 432 Tk 76244 Balance after insurance; no response, 202 10273 DAVIS CHARLES DAVIS CHARLES 11/27/80 4/27/81 117,65 RT4 ACORN RNCH 104 RT4 ACORN RCH 0104 DEfaTON TX 76201 DBNTON TX 76201 NO response to collection efforts, ` .01 23690 PAV16 01MMIE 11/05/80 4/27/81 41,00 JI MM IE DAVIS T;1 LOT143 TWIN tK R.3 LOT141 TWIN LK I DErITON TX 76:03 nCNTON 7x 76201 No response to collection efforts. 301 24177 DAVIS SANDY DAVIS SANDY 11/7.4/60 11/24/00 4/07/01 1$49,60 117 tNtARVARO ST I J7 HARVARD STREET LEW76VILLC TX 79067 L WISVILLE TX 95067 Arrangements not kept, l01 20033 NILLM GLENN DILL GLENN 7/19/00 7/18/00 4/27/6t 61.75 Y fl 2 PILOT POINT TX 76258 PILOT POINT TX 76258 No response to collection efforts. 201 0033 D1l.1.0 DANA gpILLON xx , DANNY Q/31 /00 4/27/81 44.60 PILO.TRPDINTS-A TX 76238 KO21 TBPp1NT5-A TX 76856 Arrangements not kept. 6661 } 101 14810 rLOOBPGiN75-A DANTX 76238 PILbYBP~I303-A T% DANNY 76295 Arrangements nOt n keptBO 4/27/St 800.89 DOWDY 102 20360 ptOAIN OYK CONTxE 76262 ROANOR r ROBERT RRO BPX 250-4 R k 230-4 ' T> 76262 Arrangements net kept 80 4/27/81 1009.90 „ t ~ f J , rx, 'I 1 is r DATE 4/10/01 7:59: FLOW MEMOR I AL H 0 S R I T A L PACE 4 A DAD DEBT TNANSFER REPONT FOR PERIOD 4/01/01 TIM 4/30/01 PATIENT-NVMUER PATIENT NAM8*040*00* ruraaaraaa_OVARANI.OR_NAME aawaaaaa y`DATEr_ DATE' DATE OF BALANCE PFX NUMBER NAME. ADDR, CITY, ST, 21P NAME, ADDR, CITY ST, ZIP ADMITTED DISCHARGED WRI-EOFF Of ,ACCOUNT 203 20906 DOWNEY , 111LDRED DOWNEY MILDRED 3/00/01 4/27/8l 109,60 ET 4 ACRE RA14CH RT 4 ACRE RA14CN ENTON TX 76201 DENTON TX 76601 Unable !0 lOtat@. D II 199 60320 ELBGRT , TINA ELRERT RICHARD 9/16/70 5/22/713 4/27/81 900.00 P. O. BOX 128 7$065 LAKE DALLAS TX 75069 Arrangements not kept. 101 24966 ELLIS , CON1415 WYNN 7 P 1/0/01 1/25/81 4/27/01 8153.40 910 S LOCUST 022 109 MASSEY 03 Unable t0 locate. DENTON TX 76201 DF.NTON TX 76201 201 29054 EMADIAZAR , FARAMARZ EMADIZAR FRAMARZ 12/25/80 4/77/01 33.70 P.O BOX 2945 P.0 DOX 2949 i DHNYUIJ TX 76201 OENWIN TX 76201 NO responSe to Collection offorts. ANNIE FLrMINO ANNIE KRIS 10/IP/00 10/13/00 4/27/81 274.10 101 18549 PI.FMINO , 31 Pp II X 2524 PO BOX 2524 D6NTON TX 76201 DENTOIJ 1'x 76201 No r@sponso to collection efforts, 202 22839 1 109DAU9TIN SUZANNE FLOVD , SUZANNE 10/10/80 4/27/81 105.10 1 pp ,.j 1iNT09CAU6TIIJ u1 0 7X 76201 D1 YX 76201 No response to collection efforts, lot 22509 foREMA LISA FonCHAN LAURENCE 10/01/00 10/05/80 4/27/81 496,19 105 Frt SHMEADDW' DR 105 RESHMEADOW ROANOK' 'X 76262 ROANSM TX 76262 Dalance after inSUraAC4, 210 1751 F¢RTER JANA K FOSTER JIMMY I/:%181 4/27/21 39.90 I ;1 4 PLRVDDELL 099 304 S. RUDDELL 4109 Ur WTiiN TX 76201 D1.4410N YX 76201 NO 1•espOn$e to Collection offorts. 1 .~O1 25784 PRFILP:Y DON WILEY , DON 1/17/81 4/27/01 56.00 1 00OA 40OF 05 004 IOOF 05 l1CNION TX 76201 DENTON YX 76201 Unable t0 locate, Vol 24498 OAFFNrY ALBERT OAPFNEY , BERNICE la^/00/80 4/27/91 06.00 140 NOBLE 1400 NOBLE DEN1ON TX 76201 DE NTON TX 76701 Arrsnganlpnts not kept. 201 0709 CAVPtt&Y THOMAS QAFFNCY THOMAS 11/07/GO 4/27/01 16.00 A400 NOGLO 1,101 NOBLE EN GN TX 762201 DEN1ON TX 76201 Arrangements not kept, „ 102 4204 OAApFNr.Y. WYATT OAFFNEY WYATT 9/27/79 10/00/79 4/27/81 100.96 t qq NOBLE L20? NOBLE DENYON TX 76201 D NON TX 76201 NO response to collection efforts. 99 62713 ~AMEZ BILLY OAMEZ DEMETRIO 5/07/78 0/07/78 4/27/81 $2.09 sy0 COOK ST ggto CCOOK at pENYON TX 76201 DENYpN YR 76201 Unable t0 locate, i i s. DATE 4/30/81 7 Ut; F L 0 W. M E In 0 11 1 A L 11 0 U P I T A L PAOC U I ! BAD DG111' IRANCFt.R HLPORI FOR PLHI01) 4/01/111 THRU 4130/01 , CH Y, NUMDER 404sMn040 PAT 14T NAME nwrartuua. uaw*amis GUARANI-Olt NAME. 000**rcr DAIV DAfF. DAIJ Olt BALANCE: P F X NUMDL•'R NAML, ADDR. C17Y, EIT, ZIP NAME., AUDR. CITY, DT, ZIP . ^y-^ ADMITTED Df5CHAROLD Will COFF OF ACCOUNT --lot 3979 GARCIA ROBERT 01%kCIA LUCIO R. 9/10/00 9/13/110 4/27/01 50.00 gpU WOODFORD 509 WOODFORD i7CNTON TX 76201 DENTON TX 76201 Balance after insurancat n0 response, 2201 12409 GARCIA YESENIA GARCIA ALFJANDRO 12/20/130 4/27/91 .00 3502 HVISACHE 3504 HUISCHE ENTON T% 76201 DENITON T% 76201 201 24490 GARRETT JACKIE OARRETT JACKIE 12/06/00 4/27/81 126.73 610 CROBS T1M3FRS 619 CR03VI MCERS 04NION TX 76201 DCN1'ON TX 7601 No response to collection efforts. 201 23959 OARR TT LARRY ARRETT LARRY 11/19/00 4/27/91 16,00 300 RUDDELL 007 09 S RUDDELL H07 DENT N T% 76201 ENTON TX 76201 No response to Collection efforts. 202 3456 gARRETT TIMOTHY 12/20/00 4/27/81 46. 00 bfl.'NyO'jDO"Att TX 76:01 No response to collection efforts, 201 23000 CARgUE ROBERT OARGEC ROBERT 11/10/00 4/27/91 1M 00 1 1!013 SAN OADRICL 1U13 SAN GABRIEL DENION TX 76201 DE:NTON TX 76201 NO response to collection efforts, ; 201 24722 CAR 7A RUB IN 1DICK LINDA 12/12/UO 4/27/81 50,28 6021'8ARDINAL #E-12 6000' ARDINAL 40-'12 DEN N TX ' 76201 0 • NT N T% 76201 NO response to collection efforts. lot 16726 GENTILE. MICHAEL armTI(1~ JOfiEPH 4/08/60 4/09/90 4/27/91 16 09 f ONOE'R ti7 TX 76259 )kk a 117 TX 76,159 NO response t0 60110C00n efforts. 1 23416 OCOA09 SUSAN p '''QP SUSAN 30/29/90 4/27/01 129.10 { PO POX 968 1+~I 1 QUINLAN TX 75474 OU, 4 TX 75474 No response t0 collection efforts. No1 :'4309 0 I113ONS J 010e'r J I1/30/fio 4/27/91 t6 00 j PO d1Ux it PO U '.1 IL 62965 No response to Collection efforts, 100 62 291,: MUDD, MVDDr 202 6593 011-11EAUX FH(-'.DRICK GI" RTeAux FRFDtiICK 1/E.6/01 4/27/81 s0, 00 1 i 731 LONDONDERRY LN 0231 /31 LONDONDERRY LN W231 I)ENTGN Tx 76201 DENION TX 762201 No response t0 collection offoets. ` 201 24002 fiLL.IM DETTC O Lt. M ROBERT 11/20/00 4/27/9i 99.00 I ptSxg AURA TX 76227 A% TX 76227 No response to Ccllaeti06 of forts. 101 10092 GON3A' 'fLL1,A MAR1A QON ALBS , LUIS 6/02/00 6/12/90 4/27/% 169.00 t„ UIELLA e IA.N'fON TX 76101 '0 1`4 Tx 76201 No rospooso to collection efforts, balance after insurance, v 4 1 as wrr° ij ~ all % 4351 t , r~r, r, -71 c ` DATE 4/30/81 7 ' 9 6 ' F { 0 11 M iE M O R ! A L li O S P I T A L r f AOE p 1 DAD DCRr TRANSFER REPORT FOR PCRIDD 4/01/01 T14RU 4/30/01 PATIENT NUMDER aaAFm,*maap PATIENT DAT »NAME *aaaaaaaa afiaaaa.f QVARANTOR NAME aaraaraa DATE PFX NUMNER NAf', ADpN! CITY, 8Y, ZIP NAMC, ADDR, CITY, 87, 2IP A01111'790 E DATOF OF ACCOUNT Di&CHAkOS0 Will VOP ACCOUNT JJJ ' 201 24484 QOh4LfNli DAVID ODRBI.INE - - 30I S RUDELL #101 300 Q RVDCLL #10 DAVID 12/06/(40 4/27/01 1 DENTON TX 76201 DLNTOI. 4t, 00 tOl 24194 CkAf•'F. TX 76201 No response t0 collection OffONtS, PO 0R1 7-'2 UOi11 Cki FF 22 JDIJI 0 12/02/80 12/04/84 4/27/01 { LEIJ1L~E PO 02b) lea TX 75067 LEW; VILLE T% 75067 Arrangements not kept, 314, 31 l 202 16602 GRAHAM r WELDON 613 T CXAE 0T GRAHAM WELDON 12/04/80 ' DEr1TON :766 COOK CK #Q133 4/27/01 36,oO 7X 76201 FARMERS ARAN 201 24749 7% 7!'2 34 No response t0 COl1CCGi0n efforts, f CRE?ttNC LORI r` DEI•liIDNAK 5T fi2 GREENC LORI S2/13/00 Y% 76201 1418 OAK £T 42 On I eNtONN DF,N70N 4/2s, 47.50 s 201 23581 D Tx 76a0s No response to Collection efforts, } r^^.Qbli WILOWOOD OREO C R INTH 1/11/01 4/27/81 86.00 : Tx 76,101 No response to collection efforts. 101 224000 GVILINQ DONNA ' 11I I:LPiVIEW CUILINO JAMES M iIE/ AY 111 ELMVIEW 11/17/00 12/QO/00 4/27/01 3769.15 L TX 76b'SO LINnAY TX 762DO No response to colloction offoets. 101 ?5515 HALf4Y VALORIE 403 EAGLE OR N lb "AV i3AMVEL UENYON 7X 76POI ``'pp ~•AOLE DR N36 1/04/81 1/12/81 4/27/ai 1005 15 t., 102 5847 HA~I dENT01J TX 76201 Unable to locate, F JOHN 4 00: DF'RNARD HALL ~ LARKIN 4/t2/OO EN1'ON YX 3n0? pERIdARD 9/.,3/80 4/27/$1 ~ 76 2D1 G6WrtUN t05. 4 , D !O1 21798 HARPER Yx 76201 No response to collection efforts. 1 i 250D PT WORTH DR ' PAY14ELL HARP(•: CLIFF 9/00/00 9/10/60 4/27/01 , DENTON x300 FT WORTH OR Nat 75?:93 TX 76201 DENTON TX 76201 No ees 201 24590 HARltl£ ponse to collection efforts. 1o D.7 ONp fll27 ' OENOCR HARRIS t' LEwIDIipMIDM E W 12/<!: /80 4/37/01 $B, 50 TX 75~ !7 LCW10VtLLE YX 75047 Arrangements not kept, 101 :4371 MES+RL;RA , JAfit:. HERR&kA 370 14 MAJ~( OVAOALUp6 4/27/81 10691 15 L WI5VILL6 YX InO67 L370Swi~V1LL6 MAIUr, YX 75067 UnOb1 bIQ to t0 t 1/04/81 1 , locate, ` 201 2$294 81 KI PATRICK HICKS 2102t'1100 ROAD APT 2 ^00 WEAO ROAD APT 2 PAYRi¢K l/O1/fl1 4/2%/01 DIfNTON T% 76201 BENTUI4 41, 50 201 26171 H LLIAIt TX 76201 Uo0bl0 to locate. 1 NELDA HCCLLLIAn r NCLDA ENTONOREY LOT 21 Sl, HA M4QuBY LOT 21 1/O0/HI ~7D r i TX 74:01 IENTON 4/27/Qt 1 TX 76x01 Unable to joeate. t s~ •--......tea.' .F Jai, H~ t~ , NN" r i :Ir/r tit`fk; A k I' E ; k Ira i I G.tTt 4/3J/OI 7. !i6 F 0 W 14 1i M O ft I A 1. 14 0 S P I T A L PAOR 7 11A1) WAIT III 401`CH Rri"Ofil f'UR PC'.RIOD 4/01/111 IHRU 4/30/01 I PATIGNT 11UMOER pNNYNMpiY AAT1~Wr 14AME rsons►n6M sNrytNNr GUARANTOR NAIL: aNSrN#ar DATE: DATE DAIS VF I) ALAI:CE 1 PFX NUMpEA NAME, ADDA, C(YV, g7. 21P NAME, ADGR, CITY, ST, 21N gGInITTEU D18CHAROED WRIYEOFF OF ACCOUNT fAI 22123 HI LL IAND RODUIE MILLIARD ROUDIE D. 9/ID/00 9/21/80 4/$7/81 1090.45 ; 9,y 4 igAKeLAND 964 LA'GELppND LL~WISVILLE TX 75067 LEWISVILLE TX 75067 No response t0 C0110Cti0n effort'.. l 202 19827 Ito norm KR19T1NA HonoFs ENNIS 12/13/80 4/27/01 36,00 r 6 . pOLWAR 66^3 !`IIOLIVAR DLENTa7N TX 76201 GG7NTON YX 76201 Unable t0 locate. 101 21955 HXVIOMAN OR IAN HUISMAN CLAIR 9/12/80 9/14/00 Lot 1197 TWLA'KE8 LQT 197 TWLAKEg 4/27/81 $41. 70 7% 76201 DFNTON TX 76201 HAVOC left no address, 104 14.^.7 HUNTEn J09HUA H NYEA LANCE p/e !f 1109 ELM 8Y flogq ELM $T '6/20 0/30/80 4/07/81 u0. 20 tiAIJ EA Yx 76266 SANDER TX 76266 sbVed; left n0 address, 201 20049 JACKSON k JUDY JACKSON 707 UURNARD 937 7 7 OERNARD 037 JUDY 121n 24/OO 4/$7/81 83,25 j DENTON TX 76201 D N7ON TX 76201 MOYedi'loft no address, 201 25591 JACKUON MARCUS f CHARLOTTE n18 £SAIJ0CR8 NESTER 1/11/0I - 4S'F' CHARLOTTE fil8 4/~7/81 16. 00 D¢ NIOIJ TX 76,101 IlI•:F4TON TX 76201 MX:Oditloft no address; no response t0 { 101 22370 -1ENNIN08 00113 IS JGNNINOS 00001E cyl~ u) i~ offke hIUO 4/2.7/81 2734.09 90p FT. WORTH 020 Sgbb00 FT. WORTH 020 a iENTON YX 76201 UCN ON TX 7620f NOVed; left no address; no response to 102 '22302 JE2CK 01LL1E jlE2EK , TOMMY W)(U'C~WS *"IO M5180 4/27/BS 62.70 T(OOA Tx 741171 rI AA Tx 7,6271 no response to collection efforts, 104 43998 JhNM;'ON OWENDOLYN JOHNSON TOMMY E 12/2;!/80 12/27/00 4/C7/8y 260 29 W TON E HICKORY 3100 SCAIPTURE { DENTON T% 76201 DENYON TX 76201 Unable t0 locate, y 202 18006 JJpUARV L~QIA 0 J AA62 LYDIA 0 1/04/60 4/47/Al 106,8!5 DKNTTONCORN AAIJCH TR a0X 16201 Atl~fJ OfJCOAN RANCH TA OC?k 76201 Unabld to iocate. P 201 24390 JUARE2 TINA UAREY t 0o0 SYCAMORE Or) SYCAMORE RACHEL 104'/02/00 4/27/81 126.00 l OQkTON YX 76201 UENTOAI Tx 76201 MOVOd; left no address, l I 201 21499 KECNCA IiF1A1JNA Kt?CIJCR HAWNA 8/16/80 4/27/81 . V* ' RANCCH LAND RT 3 DOx 2029 ((~~A140H AND nT 3 UD% 56 .aq ROANOKIi TX 7Gc6D fiOAAIOK TX 76262 Moved; left no address, 1 ' 201 25056 qKERA OANOAAA ERR ROGER 1/04/81 4/27/01 63. L'0 UENS`OMOX 612H Tk %61201 F01 NONOX 612N TX 76201 Moved; left no address. 4 , JJ ] 1, 5 ;1~SA` rt/1' E7_. Ip 2 is ' i DATE 4/30/81 7:56, F L O W M E'M O R I A L H 0 8 P I T A L PACE 8 'A DAD DEBT TRAN81'CR REPORT FOR PCRIOD 4/01/81 THRU 4/30/01 I'll PATIENT NUMOCR 4pp44ppd0PATIENT NAME p'xppp4fl'Jp p4Mppraa 0 ARANTOR NAME: piitlppapp DATE: DATE: DATC OF BALANCE PFX NUMBER NAKE, ADURY CITY_-8T_MZIPNAM6i ADORi ~CITY~rSTV-YIE'_-`-r hfiMITTED D[fiCl~AftGGD WftIYYEtlFF OFr`ACCOUNT i 104 14047 KERR ROGER Klltk ROGER 10/13/80 10/17/80 4/^7/131 78S,81 f 1003 MCRCCDCS 1[10'1 MERCEDES f UCNI.ON TX 76201 DtN?ON TX 762201 Moved-, loft no address. 203 12937 KIMBLE LESLIE HIMOLE MELVIN 1/05/81 4/27/81. 156.00 2227 CARROL,L 2229 CARROLL DEENTON TX 76201 USNTON TX 76201 NO response to collection efforts, P 203 16301 LAIRD DILLY LAIRD BILLY 10/03/80 4;27/81 19,96 6`4 LONDONDERRY 0104 tiil LONDONDERRY 3104 DENTON TX 76201 ENTON TX 76201 No response to collection efforts, } SOL 22723 LA1480N CARRIE L LAWGQN CARRIE L 10/08/80 10/16/80 4/27/81 760.74 DSNIONDDELL TX 76201 DENTONDDELL TX 76201 No response, to collection efforts, 201 =104 LEE PAUL HE PAUL L/01/81 4/27/81 3fs.00 LAKE DALLASIVERY TX 79065 LAIC D LID.A9IVERY TX 75065 Moved; left no address. E 203 2023 LEFLL•R BEVERLY L5FLER ROBERT 2/22/81 4/27/81 1113,00 12113 HAMPTON 1210 HAMPTON PVDACAH KY 4x^.001 PVI)ACAH KY 42001 Moved; left no address, 101 :1902 LEROY DffBORA L.EROY OARY 9/10/80 9!14!00 4/27/91 930 6D I t.00 E VILLAOE0102 1600 E VILLAGE0S02 { U MTON TX 76201 OENTON TX 76VDI No response to collection offorts. DIANA 1111418 DIANA 1/31!81 4/27/131 38.00 ' 201 26203 LEWIS 04113 WELCH LOnB WULC'H f I~ENION TX 76201 DENTON T% A201 Moved; left no address. 3 201 21615 LEWTON OPEO I.EWTON ROSA 0/30/90 4 /27/8 1 56.50 1 1917 PAISLEY 1917 PAISLEY i DUNTON TX 76701 DE14TO14 TX 76201 No response to Collection offortS, 201 20974 LINf301J RANDOL?H LINRON B DOROTHY 8/12/00 4127/81 33.50 i. ^987 BUTTER 0310 22507 OUTTER 0310 x, AN FRANCISCO CA 94115 SAN FRANCISCO CA 9411D No response to collection efforts. 101 7661 LI115[Y DAN 1.1PEIEY DANIEL 8/01/79 6/00/79 4/27/81 22749.75 t' RT. I BOX 50 rtT. 1 BOX Do ARCYLE TX 76x26 AttOYLE TX 762,16 No response to collection.offorts. SOL 17409 LOPE? r %NI~ANITA I.OPCZ bAVID 0/012/00 0/04/00 4/27/01 154.00 5j0 1dMITH TRAILER US'l 51'9 SMITHTR'AILER 014 t I) NTON TX DENTfJl4 TX 76201 huved; loft no address. 101 21776 LOPEZ TRINIDAD (01.IN, IRMA 9/08/00 9/09/80 4/27/81 263;20 I b FT WORTH OR IV16 T WORTH DR I ~DNiON TX 76201 DEN70 TX 76201 No response t0 collection ofrorts. y E I C I 1 . r, F I f x`1,74 x , t >,1 , • DATE 4/30/01 7 96 F L 0 IJ M E M O It I A L HOG P 1 T A L hAOC 9 IIAD DVOT YNANOPC'It rtu)oRY FOR PCRIOD 4/01/01 1'IIRU i/30!0 PATIENT NUM81:R 994949••4 PA11E:YN'. r all NAr. I1C ZIP IYM V. 44w44s4 4nuau4Ma OUARANIOR NA118 aaangwan UATIS DATfi OP 0Al'.ANCE x NUMUh N NAML 1 f'f, AlYlllt, CCIT NAew ADDR, CITY, 81, ZIP ADMiTTrD DISCHANCED wUIIEOVF OF ACCGUN7 202 3960 L71T CYNTHIA LP fiUT 1 00 PANHANDLE 1 /O T PANHANDLE 11/09/00 4/27/01 40,50 DCNION TX 76201 DCN10N TX 76201 Mevedl loft n0 address; no respon so, 104 2,950 LUCAS ELVA ELVA 6/10/60 0/14/00 4/27/131 164,00 UU 5~03pODIfJ t`'lCNIOT~IRALL TX 76305 WICHITA FALL TX 76309 No response to Collection efforts, 204 1809 LYNCH , KATHY LYNCH 10/c9/00 WAYNE YMOIEL 022 Y MOTEL 022 4/27/61 40,40 DCNT'ON TX 76801 DENTON TX 76201 Moved; loft no address. 101 2Oa46 MACK pp IDOL MACK p E014ARD 10/20/80 10124/80 4/27/01 1140.30 PIi.OY.PADINT LLAS ST 7X 76259 POLO PAA]N 3 ST, ti r 0 T TX 762Va No response to Collection efforts, 201 23770 MACK MICHAEL 610 ll/09/60 4/37/91 137.75 M KIANNNNEYIE TX 79069, NO response to Collection efforts, 101 20734 MALLOW RAMON MALLOW FRY 0121 fiA14DN 0/05/00 9/10/60 4/87/01 E1, 65 6 pp D NTON TX 76201 Dh14JTR 1!121 TX 76201 Moved; loft no address. 201 27601 MAPl.GO DILLY MAPLES DILLY 3/16/91 4/27/91 64.50 94W6 TIMDERLAWN DRIVE 4426 71mnanl-64N DRIVE DALLAS YX 75220 DALLAS TX 790 Unable to 1048te. 201 22349 MCAIRC6OTT1434 CHARLES PMpOpARCDOTT1434 CHARLES 9/86/130 4/27/91 79.00 LEwIbVILLC TX 79067 L,W19V1LLE TX 75067 Unable to locate'. 203 20400 Mr1 ln,.T ALFRFiDO MAftTINE7. ALFRF.tlO BOX gfJB R/19/00 4/27/91 813.50 Ilepx "6~a ' . Df.Nl'CN TX 76201 Ut[NIBN TX 76201 No response to collection efforts', 102 2149, MASON DEBORAH MASON GLENN 11 5 LOT 43 fly 5 LOT 63 90009/60 9/11/60 4/217/81 1926,00 DEiN10m TX 76201 DE,NTUN Tx 764401 NO respOflSO W CO11pCC10n.OffOrtS. i 101 19466 MAIVOIiK LAWRBNCG MATEJCK DOROTHY 6/0/90 6/d9/130 4/27/131 g19,~S QOG MCLEOD 906 N.IJCLEOD ~t E cUfiRO TX 76201 CUCRO Tx 77999, No response to collection efforts. I' 802 5640 MAT1'tSON 1VAN TTRON 3/s^D/a0 A/2%/91 IVAN R1 ' COX 146H RY 5 DOX 14611 53• DO a DEN'I~IN TX 76201 BENTON TX 76201 No response to collection effort, I 201 26324 MA:C ' 8002 W MAIN JULIE MAZE JULIE 2/03/91 4/27/91 51,{p 27002 WW MAN f LCW[SVILLE Tx 75067 LEWlBVILLC YX 75067- NO response to C0118CV06 efforts, I i n I h 4 1lkr' I Ek~~II S1 u 1, k ph 41 r t r fr, •fl! is i ' DATE. 4/30/01 7,56: FLOW MEMOR I AL HOSP I T A L PACE 10 DAD D1311T TRANSFER REPC1nT FOR PERIW 4/01/01 THRU 4/30/81 E PATIENT NUMBER #kran#a.n PAT CNf NAME #e#k#MA#a ##nkke## OVpAnANTOR NAME a#n#kMk# DATE DATE. DATE OF DALANCC PFX NUMCER NAME, ADDR, CITY, BY, YIP NAME, ADDR, CITY, 57r TIP ADM IITEII DISCHA1tOHp 41RITSOPF OF--ACCOUNT _ ..__w__.«__«----------------- 203 644E MCCALLUM BOtlDV MCCALLVI4 r DODDY 3/19/01 4/27/8I 131.40 _AKEDDALCAB TX f 75069 LA10{EDDALLAS YX 79069 Moved; left no address. 202 7132 MCCANN RONALD 2/t4/01 4/27/01 38.00 D JAMES NiNTON TX 76201 Unable-to locate, j c401 29991 M"CANN , BTACY MCCANN RONALD 1/29/01 4/27/91 62. 00 269 W MAS8EY 094 209 W MA$S5Y Moved; left no nddr@ss. j DENTON TX 76201 DENTON TX 76201 202 2D991 MCCANN STACY MCCANN R014ALD 2/15/01 4/27/81 52.00 Qty HT ON JAMCS, TX 76201 DL'209 WNTUN MA88GY TX 76201 Moved; left no address. D j lOl 16749 MCf.f)fi111CK r Kill P14CORMICK' DANNY 4/21/00 4/27/81 442, 18 400 WI.OTW'AY 4 PO WESTWA1 , MuY@dt left no address. DENYUN YX 76.^.01 DENTON YX 76201. 206 0748 MCiNTIRE CHARLES 110INTIR CHARLES 2/17/01 4/27/01 422.00 y pp p{1 PO Box L3 left no address; no rosponse BANfiA 963 TX 76266 SANGER YX 76266 MOyOd tot 22074 MENDE1 MARIE MENDBr TONY 10/12/80 10/13/00 4127/01 2:163,75 s ; Rr It BOX 09 TWLMHP RT S BOX 85 TWLMHP x DI Nl'ON TX 76201 DENTON YX 76201 Unable to locate. 201 27009 NCTCALF SHERYL MWALF OHC YL 3/00/81 4/27/91 41.10 i 0n4 WILSON 02 WILSON I Oa~NTpN YX 76201 DENTON TX 76201 Unable t0 locate, 202 27285 METCALF 8H5RYL METCALF OilEnYL 3/17/01 4/27/01 3e.o0 ~ 1 016 WILSON 0?,4 WILSON : DANYON TX 76'301 DENTON Tx '6201 Unable t0 locate, 101 19715 MOf1R1)r) DkORA MOORE. , JIMMY 3/09/80 3/19/00 4/27/01 247,00 't0.S tf SENTINEL OK 73664 No response to collection efforts, ~if: N1 NC1~ L OK 73664 3 1 254^23 MOORE EUGENE MOM EUOENS 1/06/81 4/27/91 166.10 ' '210 SHADY OAK CIRCLC VA BqY OAK RCLE ! OHABY SHORES YX 76069 pY SHORESTX 75069, Unable to locate. 101 28024 1400111Nf1 DELTA MURCN'0 JAMIE 9/14/00 9/16/00 4/27/al 497.20 S l:'// JOHNSON 1129 JOHNSON r BEN'fnN YX 76VOI D110ON YX 76201 NO response to collection efforts, j 101 20083 0NEAL CATHERINK nNITAL RONNIII 7/26/80 7/29la0 4/27/61 222.201 I ItT { BOX 653-P RT 1 BOX 653-P SANDER YX 76266 BANGER TX 76266 Unable t0 locate, i 1 f . ,r , t 4 l ',11. I 1 . ~ 1 L' k i C-ATE 4/30/01 7h: F L 0 W M C M 0 R I A L H O S P I T A L PACC I I I, 1 DAD DCUT TRANSFER REPORT PUR PERIOD 4/01/01 THnU 4/3O/Ol PATIENT NU!1pCR uaraa#a►# pATjTNT NAME,a:rasenr# ##a#p#a# GUARANTOR NAME AUMITTEU D1SCIiA cc fi0E0 W12ITEOQF OFD/ACCOUNT PFX NUMDCA NAME, ADDS, C++ Y, ST, LIP NAMC, ADDR, CITY, ST, ZIP--- _ TTa rrr._....~.w. -----r_w.•« _ AtF ~~}YY PARKEn MCi.VIN PAKGR MELVIN 1/13/01 4/27/01 201 25684 49.00 y y 519 SMITH LOT 14 919 F'111H LOT lh DENTON TX 76201 DCNTGN 7% 76201 Moved; left no address CHARLOTYE 9/16/00 4/27/81 69.50 4 202 18067 pggrrj LOT 295 CHARLOTTE RTA58DOX 295 TWINLAKES DENYONOT .45 TWIN LrtiK( q%M 76,201 OENTON TX 76201 Moved; left no address, 101 22880 PENNEY THOMAS PENNCY , THOMAS 10/17/00 10/19/80 4/27/81 361.60 33OZ AVON 330^ AVON nENTON TX 76201 DENTON TX 76201 Unable to locate. . 205 1812 pCACrr. MARGARET PCRCZZ , ANDREW 2/25/8t 4/27/81 622 90 913 .RAMS 9<}N31'FONRAME DCNTON TX 76201 D TX 76201 Moved; left no address, 1 21901 PRFDOY ADIIVRT RIVYO , RODERT 0/2^9/00 4/27/61 66.00 Up AT 3 na% 193 TX 76240 GAINCBV% ILL1E93' T% 76240 Moved; left no address. OA1f:FGVZZ MICHELLE n 4/'27/81 2G. 00 201 25553 RAA7MCn ICU 137 CHELLE R~AMEtRpI9Z 137 , MR 12/20/00 PONLtFR TX 76259 PONDCA TX 76259 No response to collection efforts. 101 20976 REEDY DINA R EDY MICHAEL t0/l0/80 10/13/80 4/27/61 474 60 S"9 JUPITER DENTUNUPITER TX 762,01 ' I U~NTON 7X 76201 D6N No response to collection efforts, 101 24^a9l RE VCR GARRETT RCRV•S OARASTT 11/.'7/80 1s^./0^o/DO 4/27/01 1479 96 41 fj 1/2 N WOOD ST 418 /2 N $400D ST DGNrGN TX 76201 DLNY 1II T% 76201 Unable to locate, 201 23513 RCYNUI.DS TCRRI SOOSARiTEO ANNIE 11/01/00 4/27/81 100,20 ``pp0?O NEED TX 76201 OC14TON TX 76201 No response to collection efforts, 0 p_ 102 3088 RHC1pE8 GARY ggHODES GARY 1G/12/00 12/13/80 4/27/61 24.00 ti? RT 1 DOX 23OR RT I Box a3D T% 762.^6 t> AROYLC T% 76226 At10v'Lff Unable t0 locate, 1t RH011E8 GARY 10/24/60 4/127/01 01.00 202 3000 RNUOEp GARY RY I hOX 238 RT 1 IIOX '..'3138 TX 76226 ARGYLE TX 74,226 , Moved; left no address, AROYLF: . ~ qg ' 201 27722 RICHARDSON JOANN nIHARAPONCOWIE JOANN 3/2'3/81 4/87/81 115 00 66,1~0 CAMP 0OWI9 669 F01iT WORTH TX 77777, FOR C60 H TX 77777 Moved; left no address, 3 r JACK ADRfiR B JACK 9/13/00 4/37/01 162;60 1 21977 OSERrS D10 tlRYAN 7X 76201 U1 D VAN DENTON LNTO TX 76201 No rOSpOnse to collection eftorLs, I is r 4 j i ,r I:ATE 4130/81 7:57: FL OW M E M 0 R I AL H 0 0 P I TAI. PAOE 12 I I DAD DEBT TRANSFER REPORT FOR PERIOD 4/01/01 THRU 4/30/81 r li PATIENT-NVMDER a440e0aaa PATIENT1N^AAMC-aaauaeaaa aXaaarMrrGUARANTORYNAI,E„aaauaaaa - DATE » _ DATE` DATC- OF --BALANCE r PFX NUMDff.R NAAE'. ADDR, CITY, ST', ZIP NAMC', ADBr2, r17Y, CT, 21P ADMIT ED DISCHARGED WRITEOKF or ACCOUNT ! 101 21562 ROBINNON CYNTHIA ROUINSON FRANK 9/01/00 9/06/80 4/27/81 1927.03 PO DOX 1084 PQ BOX 1004 DENTON TX 76201 DENTON TX 76F301 NO response to collection efforts, rr l 23202 ROPUn KATHY ROPER ROBERT 10/,?a/80 4/27/81 30.00 t; DALLADrRINO VALLEY TX 75240 DALLA5PRSPlO VALLEY TX 75240 NO response to collection efforts. f. 101 21073 ROTH RICHARD ROTH RICHARD 8/16/80 0/19,180 4/27/81 227,00 ; hT BOX 519 RI ^ BOX 519 DENTON TX 76201 DZN1014 TX 76201 NO response t0 col,lection efforts. 201 248(9 RUCKMAN JUNE RUCKMAN JUNG 12/16/00 4/27/9t 87,00 THE COLONY CpLOIJY BLVOTX 79096 THE OLUNY COLONY BLVD~X 75056 140Yedl left no address. 102 11127 SANDIP 9 DON SANDEnfl DON 10/07/80 10/10/00 4/27/81 727.80 ;317 711ollAS, p2 313 T>iG31AO, n2 ULNfth TX 76,201 DENTON TX 76201 Moved- left no address, 3 201 19109 SANDC•RO SHANE SANDERS ELTON 6/17/60 4/27/81 111.61 2106 AMARILLA ST 112 2106 AI1ARILLA ST NP. PLAINVIEW TX 79@02 PLAINVIEW TX 79202 No response to collection efforts. 201 27337 FANrrANA HUMBERTO SANTANA HUMBERTO 3/09/01 4/27/31 28.00 nM 41^. KERR HALL 14TSU RM 442 KERR HALL NTSU DENION TX 76203 DBNTON TX 76?03 Moved; left no address. 202 17720 QCAr0WROVOH . DAVID B S DEDBIE 7/1:3/80 4/27/81 116,00 c 224 FRY bT •A 1'10 CHESTNUT DGNTON TX 76001 DI NTON TX 76201 No response to collection efforts c 201 26643 SCO4Y EFF16 SCOTT DANNY 4/13/01 4/27/81 70.00 T UOX 6142 3' 2g 6 NCKINNEY NOON TX 76801 NTON TX 76201 Moved-, left no addrdst' it lot. :2031 SCOTT , PATRICIA 9CITY , PAYR ICIA 10/02/00 30/03/BO 4/27/91 235.00. N NJ'ONNNA TX 76201 DE NTONNNA TX 762.01 NO response to collection efforts. 101 18462 SCOTT 14ILL19 S3OTT HERBERT 5/30/00 6/02/80 4/27/81 626.25 ~ 210 BONES RT. 1"19 JONES ST, tiANOLR TX 76266 SANOER TX 76266 No response to C011ectlo4 efforts. f" 201 26455 SFLF CIIRIO SGI.F CHRIS 0/00/111 4/27/01 62.30 < nOX 263 I'r; UO PI 263 PAHNGS TX 99999 EARN S TX 99899 Moved; loft no address. ,1.01 26406 99LF STEVEN GR1.P.' D ANN 1/31/01 4/27/01 38.00 1§9 MAriSEY LOT H46 1291N MASBEY LOTR46 i, DENTON YX 76POI DON YX 76201 MOVad; left no address. t z , P ~~Uxa 1. 3r.` ft ~1 r c N FLOW M E M 0 R I AL HOSP 1 T A L PACE 13 Lnl'F 4/30/81 7'57: BAD DEBT TRANSFER REPORT FOR PCRIOD 4/01/81 THRV 4/30/81 r PATIENT NVMOER *044+***o PATENT NAME J"A"m " Jpn4**** OUARANTOR NAME •J***J** DAT DATE DAY OF DALANrE P TY, DRl ,,1I y, AT. 21P AD1417 CU bfSCIfAROSD WRI EOFF OF ACC6UNT r FX NUMBER NAME. ADDR, CI-- DT. 21H NAMF:+ AD 102 7697 S5WFLLL LILLIR GSWEL}~IL 35q LILLIt: q/I1/00 9/22/00 4/27/81 1463.95 al. 1 SAINJOq JO TX 76269 SASNY JO T% 76265 No response to collection efforts. CATHY 3/17 20t 27995 BEWSTSKY £~OBERT KECK /81 4/27/01 5 3 . 6 5 LOT III VILLAOE NORTH Tx 75067 EW LKISVt 111LLE ViLLAQE NORTH TX 75067 Moved, left no address, t.F(41SVILL BRYAN AHOCKRY MAURINE 5/20/80 4/27/81 109.130 201 18135 6001 RE 001 REDWOOD 2001 EDWOtlO' ' ~EIJTON T% 76201 bENTON TX 76241 No response to collection efforts. 104 11579 SIMMONS ADAM SIMMONS CARY 1/31/01 2/03/81 4/27/81 684.70 AT 1 BOX 212 009 212 ALVORD TX 76229 ALVORD TX 76225 No response to collectioA efforts. + 101 16011 aI11MONS ORADY UMMONS ORADY 6/09/80 6/17/00 4/27/81 407,33 k AT 3 r 0AINE8VILLL Tx 76240 GAINESVILLE TX 76240 "h response to collection efforts. t DALE 9/19/00 4/127/91 054,25 I 1 22027 RIMS WANDA nl~fMf5349 , No res onse to collection efforts, BOX AUN1lE:.24Y9 TX 7622'27 AUBREY 7X 76.27 p i UI1 101 1707.7 SMITH CYNTHIA SMIT14 YVONNE 5/12/00 9/13/00 4/27/81 274.10 DCNTON 0303 TX 8AUSIT 507 i BROWN LN Tx 797,04 No responso to Collection efforts, 4 %7 CMIrN RODER 9/14/00 9/17/00 4/27/81 248.06 101 21992 4SM, 1114 330 2 ROGER 4330 BROWN R251 DAL BROWN 2.99 Tx 79219 No response to tolloctton efforts. i t LLA LA TX 79atq DALLAS ! HA TRAVIS 6/1b/AO 6/20/00 4/27/01 166.56 c f 101 19148 SMITH TRAVIS SMjZCOLUMBIA HA CULUM9SA MA O1A30 11AVERHILL MA 01830 NO response to collection effortsr , Vti11H I LL i tt 102 19834 RMITHERS COLE SMITH4'RS COLE 7/16100 7/16/00 '4/2 /01 054.75 1y 1<, wAYN>i ST 1(016 WAYtdB BT TX 76201 No response to collection efforts. 1 DGNTON T% 76'•01 0>NTtlN DONNIE EPA KH DONN19 3/07/80 4/2.7/91 141.50 t 201 15698 WNW RT. a OX 267 AC 267 AC AUBREY TX 76227 AVBREY TX 76227 No response to collection efforts, i i 101 18792 OPRABARY CYNTHIA 8PRADARY CLEC1 7/29/80 0/01/00 4/P7/61 104.00. BOX 424 R'( a o1l]]X 424 No response to collection efforts, ' 9~I4N1ON TX " 76201 f)CNTON TX 76201 q 4/27/81 24.00 241 23944 6T OLA1R CHARLOTTE y R1 .ODO% 4380 CHARLOTTE No response to Collection efforts, i AT DU% 4300 TX 76211 DENT ON TX 76201 DEN ON r } . . t' + r. I r a 1 , I H 0 B P I Y A L PAGE 14 DATE 4/30/el 7:97' F L 0 W 11 k M O R I A L BAD DEBT TRAN3h'cn REPORT FOR PERIOD 4/01/01 THRU 4130/01 DATE G80 OF E/'LANCE^y r Yr„„ +-M DMI1'Ial) DISCHARGED 14R1YEOFf OF ACCOUNT 21Pa0 NAMCa ADnlipkCITY.O$TaAZ1a~MNn~~ aatlaaaar PATC f`X£NYNl1M0ER NAME, ~ADnRpACSTYr 57NC A Pr NOR . - 4/27/01 77.90 I kONGRY$ SHEILA S!/17/00 201 24023 STr1GCg J£Gfy£ BOX 621 n No response to collection efforts. OOx 621 TX 76266 173.00 SANOER TX 76266 5ANOER 4/?0/00 4/27/91 CHRISTOPHE STANLEY KATHRINE 203 6109 STANI.FY 3!J WOOD TX 76201 No response to collection efforts. Al N 6 WOOD TX 76201 DC.NT1 N $92. 00 STANLEY UELORES 3/10/00 3/13/60 a/7/lit 101 19774 9TANLtiy BNAMCKD t3 HILL I No response to collection efforfl. N 33. l0 113 HILL TX 76201 ONIO TX 7620 IVI ON STCWART DFVERLY 10/20/00 4/271~. 201 23127 STI?wARY BIVERLY 1600 VILLAOCCAST A~TS01QX 76201 NO response to collection efforts. t600 EAST Al 104 76201 DFNTON 6!08/00 4/27/91 149.60 STCWART £DDIE z , JOANNA 405 CAMPBELL No response to collection efforts. i. 202 17072 4018AMPDELL T% 76201 DENY N T% 76701 DI{NTON 4/27191 36.:5 1 dY'IiWAR7 . LAURIG 1f/15/00 . 201 23991 STCWAkr LAURIE 341, PALMYERRACE No response to Collection efforts. 127. 39 ; 4A f' !d MTERRACE TX 77553 GALVESTO14 ~AL'JEdfDN 6/04/50 b/i5/00 4/97/01 STOOSDILL TX 77583 ORA WILLIAM fOl 172x0 $T0 BOX 438 613 MARSHALL TX 76264 No response to collection efforts. RT I BOX YX 76266 $ANOER 4/PI/111 196.53 $ANGER 4/20/00 STUDRLGFI£LD WANgA WANDA P O BOX 1903 No response to collection efforts. 202 7667 pTURRBOX11003 T% 76201 1x3.00 UBNroN TX 76201 DCNTO14 MARY RUTHA 6/08/80 4/20/01. q St'hrtiTMAN 202 19460 11WF.ATMA J 0LI'I PLUM Y% 76046 NO response t0 CO11CCt10n efforts. 210 C SCh110RE YX 76201 ORAliAll 135.61 DENTON JAMES 6/19/00 6/20/50 4/27/91 y JAMES SWCATT lot 13398 $WFATT Dpd CARDINAL C4 Yk 76901 No response to collection efforts. •OR CARDINAL C4 Yx 76201 UL~NTON 4/27/01 19!.00 4 ~ENYON AUUItEY 3/31/50 t JUDY TIDWELL x01 16431 YIDWLLLOX 810 R, S UOX SO. YX 76179 Nov9d;'left n0 address. ' SAOINAW T% 7609 BAhII:A1J , 11 b/ 16/00 4/27/91 907.00 IB IhM N0 701 19077 TIM40NG Dart 18 .e5 PT. WORTH DRIYk DO1I R 76801 NO response to collection efforts. i~ 6'0 FT. WORTH DR[GL~ u7k 76201: DENIYDN 4/27/81 1e"2.79 D~'E NTON t JOHN 2/06/00 JOHN T}SDALE 201, 14561 gLUOLLPOWGLL 9 0 E.. PCWCLL T% 76104 HO response t0 CO110CLi0n tlfforts. FT OLE2TH YX 76104 F WORTH Ih ~ ' , yh V f I ' dill i•. 1 Aft L.: h f~ 1 mil DATE 4/30/01 7!97: PL UW M C M U R I AL 110SP I T AL !^40L' f9 UAD DEU1' YNANCf'LN REVOFIT FOR 1162100 4/01/111 THRU 41'UJ01 PAIICNT NUML'CR a+n.uunra VATIfNT NAM' huvooaaau naunaaa» OUAIIANIUR NAPIE u4w*o* la DATE? DATI: OA Ir. OP 8/q.AN+:L PfX NUMUER NAME., A1)1) C11Y,r6T,XII0NAME, ADDIL CITY_ UT, 111 _ A011111ED OIUCHANCI:D Wt?) 11:)1•)' OF ACCUUOT 201. 26030 TWIS JUDY T1VIS JUDY 1/1416/0$ 4/2". 't1 163125 TWIN LAKES 11HV TWIN LAKES MHP DENTON TX 76201 DENTON TX 76201 Moved; left no address. 101 7551 TRULL NELDA TRULL. LARFIY 8/09/79 8/10/79 4/77/81 ,138.10 LqAKCODALLLAS TX 75065 LAKEODALLAS TX 78065 No response to collection efforts. 102 16946 UPCHURCH LINDA IPCHURCH" JAMES 6/06/80 5/21/80 4/27/81 188,.70 I 76 LLEWISVILLE TX 75067 LEt6J1HE8VILLE TX 78067 No response to c0ljectiOn efforts, 1 lot 15891 U6SErDY PEOOY USSERY PEOOY 3/14/80 3/16/80 4/27/81 184,85 POD it P 0 Box 311 KnVM YX KRV14 TX 76249 No response to collection efforts. 99 66080 WqINER WILLIAM VARN5'R WILLIAM 2/$4/79 2/14/79 4/27/81 170.00 RT 3 BOX 24 RT 3 BOX 24 001tOF:TOWN TX 78626 OEOROETOWN TX 70626. No response to collection efforts, 101 $460 VERDIN I EDMOND VERDIN JOSE 7/12/06 7/15/00 4/27/81 123.00 9:.4 0 LOCUST 2212 S 4TH Of-.NTCN TX 76201 SANGER TX 76266 No response to collection efforts. f 101 9902 VEANON PATSY VCRN N WALTER 6/19/'1'7 6/?13/79 4/27/81 320.36 BOX ;Z64 pOX b44 PILOT POINT TX 76200 'PILOT P01NT TX 762;9 No response to collection efforts, 101 24808 ~ICK SHERRY VyICK SHERRY 12/19/00 12/19/80 4/27/81. 1027.60 14 DELL D1 DILL DBNTON Tx 76.01 EN ON TX 762U1 No response to collection efforts, 101 19870 VININO PATRICIA VININO KENT 0/04/00 8/07/00 4/27/81 608.97 5y14 YINSONVILLE LN 114 VINSONVILLE LN f1CNTON TX 76201 UCNTUN TX 76201 NO response t0 Coller.tion effortS, 201 20959 VONNAHIIC . PAUL (O`NES VERA 0/12/80 4/27/81 77.50 BUNTONNOSOR TX 76201 DLNTONNDBOR DRIVE TX 76201 No response to collection efforts, 101 22270 VOSS TURNER V()S. YUnNER 9/23/00 9/30/80 4/27/61 340,99 RYY 1 ppUx 617 RT 1 BOX 617 VANCCII TX 76,736 5ANOEH TX 76::66 NO response to collodion efforts, 209 10993 WAIKCR AMANDA W,1LKEh THZrREBA 11/30/00 4/27/81 73. 35 1107 AVE A 1107 /,VE A y DCNTON TX 76201 DENTON TX 76201 No response to collection efforts. I 201 27516 VA,ApE gR ggTEMMa1r9 ' DOTTY ~A1LKEggR BTpMMO1v8 LOWELL 3/16/81 4/27/81 82.00 ^ LAKKL OALLAS TX 75068 {.AKS DALLA6 Tx 76060 Movedl left no address. 'r l 4 y I f i fop ~ 1$151 F i r F t I i r • DATC 4/30/01 7 5 7 : F L 0 W M E M O R I A L FI 0 5 P I T A L PAGE 16 DAD DEBT TRANSFER REPORT FOR PLUOD 4/01/01 THRU 4/30/01 PATIENT NVMOCR *p***4*** PATICNT NAME 4*.******* 4****4** OVARANTOR NAME **4*44** UATt DATE DA[f•_ 0! DALANCE PFX NUMUER NAME. ADUR, CITY, 81, ZIP NAI~C, ADOR, CITY, ST, ZIP ADMIT 6 DI8CHAROED WRITEOFP OF ACCOUNT 202 1499 WAALTERS1114 ' VIRGINIA WAOLOTpEXOI114 , VIRGINIA 9/07/80 4/27/81 40.65 PO UX DENTON TX 76201 DENTON TX 76201 No response to collection efforts. 201 25566 WARD , GREGG 1/10/01 4/27/01 .00 DENTONtlUIbE 4101 TX 76201 101 le677 WWA14D .74 MAY WARD LEON 6/0$/80 6/10/00 4/27/81 106•:4 PO BOX ti PD BOX 274 UNION TX 76201 UNION TX 76201 Moved; left no address. 201 21767 UU%015 WILLIARD WnAARD15 WILLARD 9/07/00 4/27/81 24.00 LITTLE ELM TX 0 LITTLE ELM YX 0 NO response to CO11eCtIOA efforts. r01 15450 WARDUN WAYNE; VENDRICK DOROTHY 3/0./00 4/27/81 104.00 DOX 164 n0X 164 I 1,1111-1! ELM RZ 75060 L1Trt.' CUI TX 7506Q No response to Collection efforts. S' 101 5470 WAnPrN , MIKE 1'Afi1,rN - MIKE 6/00/79 6/12/79 4/27/81 197. 10 (101 NORWOOD tl01 NORWOOD r DEER PARK TX 77836 OLCR PARK YX 77536 NO response to Collection efforts. r ! 101 21436 141Ar41NGTON PETEANIA ~'ARHINOTON PETERNIA 0/28/00 R/i:9/OO 1/27101 1073.50 720 ALEXANDER /SO ALEXANDER DCFITON TX 76201 DENTON TX 7620,1 No response to Ce11eCC10A efforts. t 101 21033 W011 , LISA RENO PAYTON POLYANN 8/14/00 0/10/00 4/27/81 595.10 006 RGSELAWN .1006 A08CLAWN pL~14TON TX 76201 DENTON T7. 76201 No response to Collection efforts. 201 23364 WWELLA r HAROLD WELL HAROLD f0/20/00 4/27/81 17.90 i kT DOX 6112 nT. BOX 6112 GARLAND TX 75040 OAALANO T% 75040 No response t0 Collection efforts. ' ;02 21642 Wi(r C~YQTAL PINDLETON JAMES 11/06/00 4/27/e1 69.20 r LQ I 'i l LAKE OHOItE C8 A i 1:0 I tlT :13 LA tE SHORE OTAY UENTON TX 76201 DLN(UN TX 76201 No vosponsC to ColloctloA efforts, 101 20121 W5ST , JENIJIPEA 14587 LIMNEA 7/17/00 7/39/00 4/77/91 130,15 RT ii 6 DOX 52-0 RT 1 0ax T2-D BPxRY YX 76026 PRI00EPOR TX 76026 NO response to collection efforts. j Dill G LOIB 9/30/00• 9130/00 4/27/01 433.60 j 102 1062'6 WEST LOTS Wl.tit 9113 HILL OT 115 HILL 81 OLNTON TX 76201. DENTON TX 76201 Moved; left no addrOSS. ' 101 21-476 WHIrc LARRY WHITC LARRY 12/02/00 1D/00/00 4/27/01 913. DO { OP5 NORTHSIDL 5115 NORY)ISIDE GRWISVILLE TX 75067 LCWLDVILLG TX 75067 No response to C0110CtIOn efforts, f x i I t ! , d ~ i I D,;TE 4130/01 7:97' FLOW MEM0R I Al. 1105P I YAL PAV'b 11 HAD DEUT 1RAN.SFUR REPORT FOR PERIOD 4/01/01 THRU 4130/01 PATIENT NUMIII:R 4041toi#4 PATmw NAM(: NgMp\gptl* pNgNgtlUC OUARAN1Oii NAME M40040*U DAIS DAIS DAIC OF UAL/d+ICE PFX NUMUER NAME. AUDR, CITY. IIT, ZIP NAME. ADDR, CITY, 13T4 71P AI)MIl'IED DIOCHA140 WRIItOFF of., AtCOVNT 101 1662P WNIIRLEY CAROL I41111[.t.EY DILLY 4/0!1/00- 4/09/00 4/07/01 1)0.73 PAll IP C/O II J WSLKERe; AR 72055 PFIT L' AR I B C/O J NILKL Alt 72095 Bankruptcy 201 10426 WHYTE pp MARY E WHYTE MARY E 9/29/00 4/27/81 193,89 LEWIfVJLRLLOE YX 7$067 LEWIIOIViLLFDE TX 75067 No response to eolloctlon efforts, lot 18601 WILHIT DEE WILHITV GARY 6/03/00 6/06/00 4/27/81 341.30 RT 4 BOX 169 RT 4 DOX 169 110 response t0 collectton efforts. GAIN59VILLE TX 76240 GAINESVILLE TX 76,140 201 22180 WIL~HyOITE WANDA WILIHIOITE LAWRENCE 9/20/00 4/27/81 32,80 AUD(tF.YOX 4 TX 76227 AUBREYOX 4 TX 76227 No response to collection efforts. 201 17416 WILAM9 RICHARD W7ILV AMS RICHARD 4/30/80 4/27/81 130.76 WCNIITtlraORRTH DELL YX 76201 DENTONORYH BELL YX 76201, Moved; left no address. 1 1, 2OS 18537 WILSON STEPHEN WILSON STEPHEN 6/01/80 4/27/81 128.60 1314 NORTH CORINTH 1914 N CORINTH MOYedI loft no address. DENTON YX 76201 DCN ON YX 76205 4 101 2OV9 4 WOLF RUTH IJOLF RUTH 7/20/00 7/25/80 4/27/81 190.20 FTIWORTH MNIT'0236 TX 76104 FT4WORTH11M1T TX 76104 No response to collection efforts, S . 202 3230 WOODS MILDRED H&NDSRgON JAMEO 5/I1/eo 4/27/81 160,10 000 WILSON OAETON TR PK LOT20 DENTON TX 76201 BEN7ON YX 76201 Fljved,; loft no address. 203 3230 WOODS MILDRED WOODS JAMES I1/09/00 4/27/81 136.05 916 ~!MITH 020 M 819 CM ITH 020 DENTON TX 76.01 DENT04 TX 76201 Moved; left no address, 201 14664 yynnIORTHY PAUL WORTHY PAUL 2/09/80 4/27/81 111.00 =7 Box /jAECNWOOD TX 76046 KRUMS08 TX 76249 No response to collection efforts. ; QOt 25467 WRIOHY BRYAN W91014T DRYAN 1/07/01 4/27/01 96.00 RT. ~ BOX 640 R1. 2 BOX 64D AROYLE TX 762~6 ARGYLE YX 762-26 Moved, left no address. 201 16422 Win OPT JAM90 3/31/00 4/27/01 140.25 3914 EAST MCKINNEY DENTON TX 76203 Moved, Left no addrOSS. 102 13"54 WA IOPT TAM11Y 147I014T TIMOTHY 6101100 6/36/00 4/27/81 101.87• ; R RT 1 UOX 21 1 BOX 2l D6NT0N TX 76;301 DENTON TX 76201 No, response to collection efforts, 3 { 1 f i IV 1 DATE 4/30/01 7:90: rL6%4 MEMOR I AL H D S P I T A L PAGE Iii ~ ! DAD DEU1' TnAN5FEII RCPORT FOR 110100, 4101/0I 11RU 4/i0/DI rNCC { NATICN7 NUMO R a~~tneasa PAT CI4T IJAME euanuau4Y A**4*anuOUARANTORYNAISE_r~yy~p «DATG»- ATE-Y AAT OP --GAiA NFk NNUMD NAMCADDRr C~TY. 07, TIP Nld41sr AODR, CITY, 0T, ZIP ADMI1'TCD DIT3 .HARGED 14RI DOFF of ACCvIUNT « _ 2:04 15764 PECK PHDCDE Yt Ci GEORGE 0116/DO 4/:27/01, 69.50 MOYLE TX 76:226 A KYLE TX 76226 NO responso to Coltectlon efforts. i i TOTAL DAD DEBT WRITE-OFF THIS PMOD: 66846, 54 i I i 1 ` i , j i j BOARD C" DIRECTORS - i Page F-~?UUSINESS MINUTES Dala_Y__~ArThe Board of Directors of Flow Memorial Hospital met in regular session at 7;U0 idling. Other on Thursday, March 26, 1981 with Mr. A. E. Wyatt,, Chairman, pre$ and members present were Mr. Ralph Havenhill, Mr. GeorgeadewellMr, Gray SheShortltons j Mrs. Mary Williams. Mrs, Wilma Fritz, Mrs. Gloria is, Mr, Leonard Watson were also present. Absent members were Dr. A. M. Finlay and Mr. i Brad Moore. I The minutes of the previous meeting were presented and reviewed. Finance Committee--Mrs. Fritz reviewed the Monthly Financial Report and explained 107.5 tatthe average daily census for the month of February of h rec was the highest since February, 1974. With the increase iof noted that ntheshospitaltwassabeeitosreduce decrease in expenses of $66 780, Mrs. Fritz Its current liabilities by 140,000 from the previous month. Year-to-date, the statement of operations reflects an operational a profit oft$91,620 and an excess marke revenue over expenses of $227,000. rs. Fritz the $125,000 money security had been renewed today at Pilot Point National Bank at 13,30% for 'six months. the inetheBadamountDebt viewed, A memoranndum8from TonyCFranzenC har Collectionsst Manage r explaining the reasons for the larger total of bad debts was also presented, j The Administrator asked the Board members to review the listing of collection activiti had be led th patients discharged for a fors detaileddthe.amountsico))acted and byewhom. Theo the Board members one week hi pr ► Administrator added that at he felt the data reflected an accurate accounting of activiti since the data was collected retrospectively Mr. Hithisovedth at the Fi secondednanceaCondmmitt report, including the charge-off lists, be &;proved; passed by voice vote. Foundation card of Di rctors--Mrs. Williams reviewed the minutes of the March 12 - meet ng o 7 C. t ow emar~a"I ?iospital Foundation Board of Directors, She reported tha new officers }tad been elected--1,e., Mr. Lea, President; Mrs, Nelson, Vice President; Mr. Orr, Treasurer; and Mrs. Williams, Secretary. The Foundation had appointed ,a Nominating Committee to confer with theMhospital' gglBom d regarding etopundationasneepor member to fill Dr. Holland's vacancy) be accepted; this motion was seconded and passed by voice vote, Joint Co fa nee Co t a--Mr, Wyatt reviewed the minutes from the March 26 meeting Ili i an repor e a ey a discusen expephysicted find summer and what additional equipm EMO ni egetc. equipment JointoConfer aditional alsoediscusseduthefre openingCofathec Unit, etc, U Coronary Care Unit this week and that it had been closed on February 20 due to a shortage of nurses on the 117 shift. The Administrator added that the Board should i consider the purchase of a CAT scanner in the not too distant future and explained tha several hospitalized patients. each week are transferred to Dallas to have,a CAT scan. Mr. Havenhill moved that the Joint Conference Report be accepted; this motion was seconded and ratted by voice vote. askedrhimotodiscussintroduced LoneCotton, GasDirector the CompAnyf andPlant Re ort from Lone Star' 8rswith.theRance E r, o nson, an engine current rate being charged the hospital for natural rasa Mr. Johnson explained that th hospital was icaallowedIndustrial cutrate backuntil of serviceear,d6thatttheshospitaltit currently 3 from rates which being charged a commercial rate, He suggested that the hospital, under new rogulaiions € would be eligible for a Rate 2 at a considerable savings if the hospital could provgide total stand-by capacity. Mr. Cotton proposed that the hospital consider purthaboil r R new bailer to replace three of the four current boilers and utilize as a stand-by boiler, Mr. Cotton presented an estimated cost report for such a pro ect IA111191V V,L A, c ice" ..•"t.~~-•~--~=`r....~..-- 9r oy M., l urr 1 . 1 _ r:u B•tl18 I BOARD OF DIRECTORS BUSINESS MINUTES Dale Page totalling approximately $113,000 and explained the savings in gas which could be the ( result of the newer, more efficient boiler plus the revised rates. The kard members agreed to consider this request when the budget is prepared for the next fiscal year. I ua11t Accountability(Medical Audit Committee--The minutes of the previous meeting were rev ewed, T summary of qua ty accouta1lity activities hospital-wide had been reviewed, as well as the statistics regarding transfusion review and surgical case review. The members had recommended a solution to the problem of inadequate information on x-ray requisitions, and this will be followed-up. Mr. Havenhill moved that the report be accepted; this motion was seconded and passed by voice vote. Sa_f_~_ty Corrq„ttgj--Mr. Watson reviewed the minutes of the March 4 Safety Committee Meet nag an3 summarized the incident reports for the previous month. Mr. Havenhill asked about the procadures for disposal of contaminated materials, and the Administrator responded that,these materials are placed in the hospital's twice-burn incinerator and that this procedure is apparently adequate. Mr. Shelton moved that the Safety Committee Report be accepted; this motion was seconded and passed by voice vote. i s an-- Trans.f s_ion Medical Records/Utilization RevIe Committee--The minutes of the previous mee ng were presented and reviewed, The statfis cs concerning the revie ` of admissions and lengths of stay, of patients were summarized and reviewed, Mrs. I Williamson moved that this report be accepted by the Board of Directors; the motion was seconded and passed by voice vote. i Medica] $tefPt--Dr. Short reviewed the minutes of the March 16 Executive Committ eating. He mant~oned that the physicians on the Executive Committee h,ld expressed a desire to participate in the evaluation of future needs of the hospital including M< capital equipment items. Dr. Short commented that he felt that the Executive Committe was a representative array of the Medical Staff and that they could adequately be equipment needs of the hospital from a medical r evaluating the capital responsible for standpoint. He suggested that if the Board of Directors wanted the Input 'of'the physicians, that the Board request this from the Executive Committee rather than appoint another committee. The Board members agreed that the medical Staff's suggesti s' should be solicited prior to any Board decisions regarding capital equipment'expendi- tures--as had been the case the previous year. Mr. Shelton moved that the Board of Directors request the Executive Committee to investigate and determine the hospital- wide equipment needs for the upcoming years and report this information back to the Board of Directors. This motion was seconded and passed by voice vote. The members a geed that the information forthcoming from the Executive Committee should also in c ude a prioritized listing of needs. The applications for appointment to the Allied Health Professionals Staff from Lawrence Schneider, Ph.0,, as a Consultant to the Physician, Psychologist and George Smith as a Physician's Technician I for Or. David Steiner were reviewed. Mr.,Havenhill moved that the two applicants be appointed as recommended by the Credentials Committee and the Executive Committee of the Medical Staff. This motion was seconded and passed by voice vote. Or, Short also announced that the Executive Committee had adapted a resolution to support the transfer of the Home Care Service from the City-County Health Department to Flow Memorial Hospital. Mrs, Williams moved that the Medical Staff Report be accepted; this motion was seconded and passed.oy voice vote. New Business: Hospital Van--Mr, Watson reported that following the request made by the Board of 01rec, r a previous meeting he had obtained the following information 7h hospital owns only one vehicle--a 1974 Chevrolet van with approximately 35,b00 Ples. . IOer B•a1tl ! ,IiHnl NLUHCA. NI Iee. ttlH!! ....,....nxwa.; i 71 BOARD Of DIRECTORS MEETING BUSINESS MINUTES Dale March 26, 1981 Page 3 MHR G ant--The Administrator stated that there is a possibility that the hospital may be ee g Te for a federal grant through the local Mental Health/Mental Retardation Unit, The grant, totalling approximately $28,000, could be used to pay the hospitali- zation expenses and professional component of some short-term psychiatric patients who are otherwise unable to pay their hospital bill. Further information will bu made available for the Board as this possibility developes, t bilitXIn urance--Mr. Watson announced that the insurance premium to the Texas Hospital Insuranc` Exchange for the next year will be increased to $47,040. He ex. plained that this amount is based upon the number of hospital admissions and the number of patients seen in the Emergency Room. Mr. Watson summarized the activity on several pending suits against the hospital, ACHA Workshop--The Administrator requested permission to attend the American College o ospa"I Administrators' Trends and Issues Workshop in San Antonio, Texas Arpil 12-159 and this was granted. T_._AUQ§ Wor h --Mr. Havenhill talked about the recent Texas Association of Hospital Governing Boards Educational Seminar which he, Dr. Finlay, and Mr. Moore had attended. He distributed information received at the meeting concerning the status of health care bills and summarized his conversations with Congressmen Horn and Glasgow.. . Al o ance--Mr. Havenhill presented some information which he had collected regarding car allowance and/or the furnishing of an auto for hospital administrators. j He asked for additional time to gather more information before making a final presen- tation to the Hoard, and this matter was tabled. There was no further business, and the meeting was adjourned at 9;25 p.m, i i Mary Henderson Williams E Secretary } gm ~ 3 I „_....,~..._...e.....,...,.a. -.r.,im~a:..ucw.w»«rr..+..ru~' w1) ;r 3 FLOW MEMORIAL HOSPITAL BALANCE SHEET 1 MARCH 31, 1981 1981 1980 1981 1980 CurrenL Assets: Current Liabilities:' Clash--Operating$ 47,066 $ 25,003 Current Notes Payable $ 131,117 $ 130,125 interest & Sinking 924 61734 Accounts Payable 623,385 542,218 Reserve Fund 921 Accrued Payroll 121,270 89,612 Repair Fund 21925 7,546 Payroll Taxes 85,897 150,303 Group Health Insurance 21411 20055 Fees Payable 133,036 104,237 Investments/Board Designated 271,398 312,999 Bond Interest Payable I0,686 10,061 Bonds Payable 65,000 5,400 Total Cash & Investments $ 324,724 $ 355,258 Total Current Liabilities $ 12190,291 $1,031,556 Accounts Receivable $ 2 172,629 $ 2 202,931 Other Liabilities: Less Allowances 117C,393) 303 734 Deferred Income $ 152,709 $ 146,446 Net Patient Receivables , , Long Term Notes Payable 3639540 301,296 Bonds Payable 495,000 5601000 Other Receivables $ 2559988 $ 148,580 Inventories 2669760 204,625 Total Liabilities $ 29201,540 $ 2,039,298 Prepaid Expenses 811239 73,516 Capital: Total Current Assets $ 2,9229947 $ 2,6811176 City of Denton $ 393,165 $ 393, 65 County of Denton 1,696,871 1,696,,171 Property, Plant & Equipment: Endowment Flow Estate 240,461 2400461 37,547 $ 37,547 Fed.: Grants, Hill-Burotn 108689910 1,868,910 Land Building & Improvements $ 31003,045 2,960,997 Federal Grants 256,371 266,371 Furniture & Equipment 3 996 626 3,57W48- Pledges and Gifts 373,300 326,602 , ,5 3oM Gen. Fund Bal., Beg. of Yr. ` (944,652) (1,163,821) Current Year _ 2n,122 311,339, Accumulated Depreciation (3,635,077) (3,276072) Net Property, Plant & Equip. }4021141 $ 3,297,420 Total Capital $ 4 123 54 $ 3,9391798 TOTAL OPERATING FUND $W6,3259088 x,5,979,096. TOM OPERATING FUND $.6 325,08a $ 5,979.096 j i i Current Ratio 2.46 3 1 y E Page 2 FLOW M A STATISTICALSTATEMENTS P I T A L MARCH 31, 1981 YEAR-T0-DATE PRIOR F' CURRENT M 0 N T H Actual Bu-d2e-'t" Year-to-Date Actual Budget - 21806 21790 17,680 160380 17,623 Adult Patient Days 90.5 90,0 97.1 90.0 96.3 Average/Day 1,994 Newborn Patient Days 384 403.0 11.0 13.0 12,0 Average/Day 12.3 21336 21197 294,59 $ 304,17 $ 30107 $ 257.83 Gross Pt. Revenue/Pt. Day $ 332.58 $ yk Total Expense/Pt. Day $ 290.91 $ 247.66 $ 258,15 $ 260.36 $ 213,97 Month Charity Bad_Debt_~ R cover October $ 28,023 $ 61,326 $ 7,117 November 29,827 81,970 6,286 December 32,562 66,439 6,249 JAnuary 70929 79,034 13,373 February 319616 1009778 14,073 March 75,73 r. 16,609 6.3$4 ; ' $205,692 $466,166 $ 52,391 1.0 % j % of Revenue 3,8 % 8,4 i i i F L 0 W MEMORIAL NOSP I T A L Page3 STATEMENT OF OPERATIONS/MARCH 31, 1981 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other E1 e's 99 ~ 8f469 Lo s Dail Hospital Came 'lam 190(839 00> 6~ ~ Y 56,480 24,729 30290 28,019 27901 Psychiatric Care 6 44,835 11,382 11552 12,934 IClUPOst Partum 2 229950 19,617 1,262 20,1379 2,071 Nurser 119369 1,630 12,989 12,246 Neonatal Nursery 25,234 329 11,858 (11163) 695 1'1 529 21374 24,367 986) Coronary Y Gate Unit 1 3 2 2310,,181 21 ,79. Labor 18,32) 41585 22,905 2,348 Labor & g eco 3 41,987 16,788 14,052 30,840 11,147 Emerergencencgy & Room Recovery 5 3 31,000 14,907 20,723 369630 (4,630) Central Emergency ply 6 57,798 71593 211182 28,776 29,023 Laboratory/Blood Bank 10 88,958 42,025 420026 46,933 16,067 21,488 37,656 32,738 Radiology/Nuclear Medicine 7 70,303 125,972 9,441 21,365 30,796 95,176 Pharmacy/IV 14 29,3J9 11,656 6,471 18,127 110232 Card hesia 3 5,610 7,472 13,082 5,334 RespiatorynThe 2 8,016 10,359 41969 15,328 42,698 580026 Respiratory Therapy 6 5 74 740 6 483 3 1923 Physical Therapy - M- - s 6 $'_i$4;y Total $ $ $ (48,261 Deductions of Revenue $ (48,261) $ "'(92,200 Charity & b Ins; Exp. (92200) 23,612 13,616 (239618 864 Employee Health Medical Records 395 10, 1,686 2 2,031 726 Gift Shop Cafeteria 11,173 24,462 24,011 48,643 379370 16,566 36,468 51,033 51,033 Plant 26117 31906 30,023 30,023 Laundry eeping 8, 10,666 10,666 L 8 0,74 1 17,198 17,198 Fiscal Affairs/Data Proc. ,467 21,328 9,934 31,262 31,262 Business Ofc./Credit & Collect, 20279 918 39197 (3,197 Purchasing 3,485 20662 69147 (6,147 Personnel Administration 69401 55726 12,126 (12,126 1,790 10083 2,87 (2,823 Staff Education 255 43,738 343 2'93 32,473 Dereci & Administrative 32~977- 77, Depreciation 0952) 29,5 9 , & (23,799 . Gain (Loss) from Operation 31+302 ; Non-operating Revenue 31,302 4033 Foundation 4 303 I Total 1-838 615 4 ,339 379,469 8260809 1ST r { STATEMENT OF OPERATIONS/YEAR-TO"DATE,SMARCH 31,L1981 Page 4 % of Salaries Supplies Total Direct Operating Dail Hospital Care Revenue Rem & Benefits & 0th r Ex eases Profit Loss ffT- Psychiatric Care 6 338,599 61687 9 1990150 Od/Post Partum Ca 5 249,253 132,762 , ICU 2 116,075 73,134 61741 79,875 169j278 Nursery 3 135,273 91'142 61618 97,760 17,316 Neonatal Nursery 1 46,525 61,969 8,714 70,683 64$90 Coroner Care Unit 60,059 11429 61,488 (14,963) Labor yDCare Unit 3 221,0? 155,240 17,637 172,877 48,668 Operating & Recovery 4 147,525 93,955 23,622 117,67; 290948 11er tang Room 228'465 915468 67,666 149,034 79,431 Emency ral Supply b 165,285 719397 125,826 197,223 (31,938) Cent Central Sup9lood dank 362,649 45,819 129,698 175 517 'Radiology/Nuclear Medicine 10 5179961 246,268 846,268 271,693 Pharmacy//V 14 4064323 92,581 114,361 206,942 199,381 Anesthesia 738,573 54,910 190,632 246,642 493,031 Cardiopulmonary 2 165,399 64,995 45,439 110,434 54,966 Respiratory Therapy 6 120,522 32,553 54,304 860857 33 665 600 Physical Therapy 1 36041,447 323967 14 29,487 929454 212,146 ! Total 2 74 35 061 6 386 Deductions of Revenue ' ' ,1r Dedut & Bad Debt $ (279,971) $ $ $ Chariee Health Ins. Exp, (529,129) $ 279,97'1 12 {529,129 Medical Records a,~35 112,883 883 112,883 (112,$83 Gift Sho 56,350 11,116 6,752 67,466 {&6;I1 E ? Cafeteria 59,858 2( p Plant 141,600 144,112 286,712 2 6,854 Housekeoping 899812 220,199 315,OI1 15,011. Laundry 130,667 32,187 262,86462,864 Fiscal Affairs/Data Processing 449195 12,194 56,389 $6,389 Builhess Ofc/Credit & Collections 44,784 27,669 72,453 72,453 Purchasing 122,724 67,785 180,509 (1809609 ! 9,217 Personnel 40649 13,866 13 866 I Administration 18,021 12,953 30,966 30,965 Staff Education 35,936 189423 64,358 54,368 General & Administrative 10,240 29886 13,126 13,126 p 13,105 ~caton - 177766 i~l'266 Gain 158,102 € (Lost) from Operation 9OW 716 , ST 67,825 Non-operating Revenue 145,432 Foundation 26 870 145,432 Total 25,870 ,813,723 2 467 617 IV $ 2,107,079 $ 4,574,696 2390127 I FLOW MEMORIAL HOSPITAL Pages SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS MARCH 319 1981 Current Month Year-to-Date Beginning Balance $ $ 36,553 $ $ 22,839 Cash received from, 851,646 4,293,965 Active Patient Accounts 6,299 52,336 ? Bad Debt Accounts 11,757 62,499 Cafeteria 8,626 114,378 Appropriations/Donations 791 223,683 Other 36, 915,119 474,6'6886611 s Total Cash Available 1 Cash Disbursements: $ 333,914 $ 2,049,334 Payroll 282,297 Payroll Taxes 48,874 207 j Patient Refunds 41,601 112727,207 ,496 0 Capital Assets 111059 67, 438 Notes Payable 10,288 2,067,306 460 906 110 4 724 138 ; Tota~tDisbursen+ents~ "6*4- 02 0398 $ 45 Cash. Balance 271 Cash Investments Total Cash 316 60 $ 316,960 s F f Gross Patient Revenue $ 932,170 $6 373,663 Less: Allowances 63 158 369 072) 1 Net Patient Revenue i Cash Received on Patient Accounts $ 861,646 $4 1970967 $ ! Less, Patient Refunds 1 41 Net Cash on Patient Accounts I , 4 , 6, 58 Cash Received as a x of Revenue 93.2 % 83.3 % + Page 6 F L GAGED ACCOUNTSR RECEIVA8LE SUMMARY 7 A L MARCH 31, 1981 , t 31-60 61-90 91-120 121-150 160_+ Total % of A R Primary Payor Current _ - 238,819 $ 13,011 $ 8,397 $ 344 $ 16,928 $ 21609 $ 280,108 15,1% % 7,904 60,807 3,3 + { Medicare $~Modicaid 22,802 249493 13803 3,805 1 glue Cross 90,532 105789 8,323 71118 13,061 18,797 148,626 8.0 % 289,427 115,341 38,678 14,110 565 21972 461,093 24,9 % Commercial fns. 1 S411f-Pay 320,728 73,078 91,686 47,647 22,052 121,034 676,225 36.6 % % 26,793 28:129 12 352 17,246 22_, 3,34 12.1 Balance after Ins. 1070554 31,290 $ 1,069,862 $ 268,002 $ 176480 $ 101,153 $ 64,964 $ 170,562 $ 138609223 100.0% 349,435. In-House $ 2,199,558 Total Accounts I ' 57.8 % 14,5 9.5 % 515 % 3.6 9.2 % % A/R by % i Days of Revenue: Accounts Receivable 62.6 In-house 1118 Total w.._.74.4 4.1681 7"1 DAD 020T TRANSFC11 REPORT FOR PERIOD 3/01/01 THRU 3/30/81 PApTIENT NUMBER s4RA40NNN pp tgNT NAME NNNRNrNNN WA RANT NAME NtlNRNNRR DATE' DATE DAYE OF BAt,ANOgg pF;f NUML/ER NAME, ADDAi PITY, 8T, ZIP NAME, ADDR, CITY, ST Lip ADMITTCD DISCHARGED WAITEOPF OF ACCOUNT -wr Y-_ .._r_.--------------.w..- ._.._-_..-r.,------- w----__w~-- R IOL 23673 AppRHIRgg i MICHAEL MCCKpON WINSTON 11/03/80 11/04/00 3/30/131 70.50 e019 MCCORMICK MM ON DENTON TX 76201 BENITOM TX 76201 Balance after insuraAcel no response to 207 9044 ADAIR DC14113C AOQIR , UIIJIB$ g$1J,4.gy,q~ efforts, 3/30/01 32.85 418 /B PRY STRAY 4 e DRY DeNT~N TX 76201 U~NTDIJ Tx 76201 No response to collection efforts. 201 12901 AAD ~ _ DONALD DONALD 10/13/O0 3/30/81 60,00 REN ON PRA q1C TX 76201 02iN N PRAIRIE N1 ` TX 76201 Unable to locate, 201 23752 AOVIILAR DAVID AADVII.AN DAVID 11/09/no 0/30/01 61,90 61 y~I HL~RB .2 6l IJIT ERS NZ DENYON TX 76201 DGIJTON Tx 7601 No response to collection efforts, 102 1383 UN 70 YHICKORY BTU SANTXA I 76201 ~UnTO14 HICKORY S( SANDRA 76201 No response tOtOlOlactOlon efforts, 150,47 I AA I~,Hk 202 6722 D WNYIRNY STAt1bNAp1{YX 76203 gDE TON b~ 6Y1nNT STATION A0TX8 76303 No 11/30/80 to collection efforts/01 D9' 90 { 'Lot 10091 ANDERS SHERRI ANpgEqF~ LARRY It/10/00 11/10/00 3/30/01 40.34 71 0sINEOVILLE TX 76240 GAINLSVILLC TK 76240 No response to collection efforts, /00 102 16339 1208THgg"04 02 D1ATX 760:26. [nRI DOEptlRT MATX 760..^6 Balance after lnsurancel arrangements not kept.547.60 q y BRIDOEp OR Rol 22008., ARMO a CLARA Moog CLARA 9/14180 3/30/81 1w^5,50 WYONee RD YX 76201 DiNT105" RD TX 76201 No response to collection efforts, D MyLL9H RAITtOgDDg ~gO 201 23578 q f1NnDOX AI: 103 ACOR~1 RANTHBA 76801 DGN70N0X 103 ACORN RCT%25 76201 'No lresp2ogSO to collection efforts /Sl 32, 90 k E 201 24728 A 1{MORq , PpI~ A qq HMORIL i RpBERT 12/33/80 3/30/81 43, 50 j D N~ONtltlX 8 ACORN RAIJC %8 76805 D NTOI•100X B ACORN RANCHX 76201 MOYedl left no address, 201 25157 D 'IDOX 8 ACORN ROORRY 76801 ARl1tN TQNALLY TURA' A018%RT76010 Movedleleft no address, 3/30/51 92. 60 u~ 201 Q1645 IW r BRENDA BDXl~8~A RUSSELL 9/04/00 3/30/81 26,00 ` N 8 ILLS TX 76240 OAINESViLLE Tx .76240 Ne respenSA 0,40110Ct10n effOrES, j IY Yw„w.lwr~WW W'..\,~MM,..✓.Yrwr,wu_.ur,Y.n,W,~Y^,M, ww1~„wY-4..iwu,YU.~-.~a.. ur.uY+,MU~.u....,w~..V wr w.~. I ,.h. w. .wu. .u rA... u~Ir~.~ u.r1,..,r•u._r,~.M..•-n~/./~.Y I z WE 3/31/0l 10. 29: -F CO N M E M OR' R I A L H O 6 P 1 T A L, 1 PACE 2 DAD LIEOT TRANSPER REPORT FOR PERIOD 3/01/01 THRU 0/Oo/81 PATIENT NUMBER argagaaqa PATI NT NAME aaaNaaaga 4****mar OUARANTOR NAME aanargaa q~rr pp L PFX NUMBER NAME, ADDhr C Y, ST, ZIP NAME; ADDR, CITY, SI, ZIP AUM17T80 DISFATEGED DATe OF OFDAI, ANCCE r ...•.......r .wr.w+.. 203 9010 Ayyn0T 0 SC OTT ROBERT AVANT ROBERT 10/I1/D0 3/30/81 34110 104 1020 SCOTT v..NrON TX 76201 DUNTON TX 76201 No response to rollettion efforts, 801 24534 j_IAK@R M?RnAy SHEA MURRAY , DEBORAH 52/07/30 `21 N. ARROLL 0g1 N, CARROLL 3/,00/81 40.90 DE14TON TX 76801 DENTON 7X 76201 No response to collection efforts, 107 19748 BAi.LAnD , TRACCY UALbA1~0980 STEVE 9/09/80 9/12/80 0/30181 1019.40 PC OX 940 nn q ARGYLE TX 76226 ARGYLE TX 76226 Arrangements not kept, 101 23997 R1Rgl•,pOX 47 DEDDY DArRqDEROX 47 DENNIS 11/03/80 11/04/80 3/30/81 601.39 UENTl7N Tx 76201 RDENTON TX 76201 Arrangement$ nbt kept, 201 14003 DARNETT OOLIA DARNETT oOLIA 11/12/00 1110 1/2 AUSTIN 4C 1110 1/2 AUSTIN q~ 3/30/81 22. SO DENION TX 76201 D NTON TX 7620IND response to collection efforts, 102 10S07 VP, 305 RT. '4 , T89LMA R7Y4 BOX OQS ! FRANKIE 9/06/00 9/06/00 3/30/Qt 424,50' IB' NTON TX 76201 DEN WN TX 76201 Arrangments not kept, 201 84913 t1EAR0 1 14 t CHARLOTTE tIARO RA14DALL 12/10/00 3/30181 35.00 r HVPFMAN 4 E HUFFMA14 DENTf}N TX 76201 K~UM TX 76249 No response to collection efforts. 201 82949 REAaCRIlpX 02 t MARTHA IIGAVCnR THOMAS 10/15/00 3/30/S1 36,40 AfiOYLE t 2 BOX A2 TX 76826 ARGYLE TX 76226 NO response to Collection efforts, ►01 20514 RppfCKETT r1140THY pSICKETT 71140TNY 1/09/0I I ROYAL OAKS e23 RT. I ROYAL OAKS 11.0 3/30/91 65,40 DENTON TX 76801 DENTON 7X 76201 Unable to IoCate, ' 201 24470 UL111ROX,7CA CHARLOTTE REEL?H0EROX 7CA t CHARLOTTE 12/05/00 3130/81 41,50 KRUM TX 76849 KRUM TX 76249 No rosponse to collection efforts. Vol 24796 DLL HARRY CIS" t HARRY 12/13/00 . PARK LANE 612 PARK LANE 3/30/81 36.00 r N'TON TX 76001 DV: : ON YX 76201 NO response t0 CO110Ctlon efforts, 201, 24299 DELL r SHARON DELL SHARON 11/27/80 0430/01 47.20 i 6 1 AUSTIN 04 611 AUSTIN #4 , j O NtON TX 76201 DENION TX 762ol No response to collection efforts, QCt 24005 tILMAttS SANTIAGO %LMAG~IARCLIFP , SANTIA00 Woo/3o tl%30/81 63,00 X910 RIARCLIFF 33 D NTON TX 7680t OENYON Tx 76201 No response to collection efforts, '...•T._M....»,r_.rr..........M..r.`..._V..\..u...,u.r_AW La.''.+.iw...............w.......wYWi.w..r...•+.W..a...wOr 4_.`....VM.rw~ lie I I , r 1 ' M.. ~ . ww.r r.wu.r.nr•.r r. rrr... wr.r r.w.n.... n... .r.. DATE 3/31/81 10;29: P L g W M E M 0 R I A L H 0 8 P I T A L....,,..,__w,_.... NAQE w_w3..,....... BAD DEBT TRANSFER REPORT FOR PERIOD 3/01/81 THRU 3/30/01 PATIENT/ IFMMNaMaa4 PAtil{NT !LAMEaa0aar■*a aaaaaeaa OVARANTOR NAME as*aa.aa DAy g OAtt& ppATgg (1F DALAN PFX NUUMDErs NAME, ADDkI 1 T, ZSP NAME ADDNr C11'Y, ST, ZIP ADMI776D D18CHAROED WRITEOKP OF ACCCCE .ww.ww ww,. .www. Y. . 8UNT w wY.Nwww .wwNlwNNwww .wMrrwrwNw rwNww.YNrwYNNw.wwrN.. .w..w .Nw NNYwN.Y• YY.Y Nrww r--------ww I i 101 249221 ppLtlRRhpyX , BRA Ri'b' SEA 12/00/60 12/14/00 3/30/8!. 1274.00 DKEryuA4l9.AS TX 75065 AK1S DX A419.A8 TX 7906D Arrangements not kept. gy 201 20118. ~tlARAVENUE D 0W2b8PATRICIA po fflyy PATRICIA SO/57180 Y A~~ AVtiNVG 0 uw20~1 3/30/81 36.90 UNION TX 76201 BENTON TX 76201 NO respOnSo to collection efforts. 203 24414 DIFIO~H(yyA1 p(7 , CQNN[E DINOHAM HANK 12/03/80 3/30/B1 38. LO 9A1.4 LLII N ST 0114 TX 79005 4LWISVILL6A N230 TX 79067 H0vud3 left 90 address. 102 2530 $HUP 1 MARILYN 18HO , CHARLES 0/11/00 0/13/80 S 494.68 R6 MAPLL 40D OQ6 1APLU1401D 3/30/011 INl1SVIL n TX 762240 AllNp6V1LLE TX 76648 811anc0 after insurance) patient refused to pay. p AND 1 BESSIE pL AIJD , OGSSIE 11/49/00 3/30/81 60.00 3 .14676 hP CAPRICORN 042 RY R CAPRICORN 042 DENTUN TX 76201 D WON TX 76801 No response to colloetion efforts. 241. :6556 D2NAPAfttigg i ELIZABETH RtlNpphAgTgg BLIADETH 2/1 R/01 0 2 Flgk7 fd2DE T. P. 11.'s P10 TH81D& T. P. 3/30/01 20.00 LITILE ELM TX 750C,e LITTH UNI TX 79060 Unable t0 locato. 107 19390 D $tJ~AE9 , VICKI ~1 t~1 r E8 JESSIE 11/16/80 I1/L'0/nD 3/30181 106. 00 L aVIILLE TX 75067 L IJI VJLLE TX 75067 NO response to collection efforts, 2 2J414 aWErIIiVTH AYLOR ' LINDA JAMES 9/16/BO 3/30/01 22.06 AINC ILLS TX 76240 CHINES ILLk TX 76740 Balance after inSUrantel no response. + yK JVDV D YYp RANDY 8/ZO/7~r B/2^s/79 3/30/81 16.69' 101 8746 HhCOR CREEK EST.' H CIIORX CREEK EST. LKK DM.AS TX 79060 L KE DLLAfi TX 70065 Arrangomonts not kept. 2032 133225 ~RADFORD , CALVIN gQDFaUO i CALVIN 10/19/00 3/30/01 16.50 0 TX 71,269 tlNDKR1 TX 76259. No response to 0011001:10n efforts. 101 16438 D ADSHAW , RUTH R DSHA g " M LL pyyrrL fIUTH 3/31/00 4/11/80 3/30/01 , 26.20 0 }NE VILL6 TX 76240 AtNU6VL TX 76240 No response to collection efforts, 101 22952 ARR1AN H 1 KENNETH RANCH , KENNETH 10/15/00 10/17/80 3/30/8f 646,90 7D4Nf~NADSHAW 4 9RADSHA14 T% 76201 IWON 203 T% 16201 Anrang~aents net kept, 11294 6NTONLL / 52iITXEY761101 11I NTUNLL, f BHTXLE 7b201 No 11/09/00 response to collection efforts/e1 D7. 7S f T4.n ..✓r,\WNV WY W' ~Y.wW VYw.w.r Yw W.w,..w.n Ywww.Y.• 4..• .r ....IW u.• .n. y,~~ n w r w a .N u..r,... .r w. ww I( { `F W.wr r.wi.n Ww W.n.w wWnry , V 1 1 . . ' i 2 1 , -Ati I 2.04: i ' :f/Jf/Iii lu 1'7' GAIl• 1. C1 Vd PI li hl p It t A L II U U I+ 1 T A L I'AOki 4 DAD MT TRANBFEII REPORT FOR PCnIOD 3/01/OI THnU 3/;10/01 ~PATIENT NVMIMI nryxexerr PATIENT NAME *#*m v**v p214114..1* Ol1ARAN OR NAME arlr,♦wrlrr CAT lAT AT D BALANCE! I T q g I g n g IYt IF~k NUMUEft NAMC, AUUR, Cl H illy NAMEr ADi)11, CITY, 2;11 YIN AUI1111ED U19CHAI,OED WAtTLtO P DF ACCOUNT rrwr rr.. u.,rrr .rrrna MwrYw r rw » r wwr r ..w 1, .rwwrrrnw rMMUwa wrrYrMMYa rr,.Ma rr» rrww x0404 rrwa .rb4' r»»u......V 101 04'1046 1IVIM JIOWE OR ICL JEOBIC n/1T)/n0 0117/80 MOM 51,92 r gFMTUNUI 'HI 51;1 It1)UT11 1 TX 76201 DUNION TX 76201 No rosponso to collodion 0'fforts. ~ 0401 24073 ROCK~I1Ix JULIA MUD S(1lT'1y7 ED0I1i ../19/04 I L7 0130/01 42;20 PIII~T 1'T TX 76250 PI 01 I'1 T% 1/6250 Arrangements not kept. U01 219n4 g1R0uVIgug , LANCE pR11VTHt1-ARIt ;ftD LANCC 9/01 /00 3130/01 01.00 U~.I'.I~ryCAIiRUI.L '311; OLL , TX 74201 uf,NlCifJ TX 762201 No response t0 C011e0tion efforts, 201 2D962 ROWN SHARON ROWN SHARON 10/03/00 3/30/81 34,00 RY M2D4 016 PRY #264 ~T6N TX 76201 DENTON TX 76201 No response to collection efforts. 201 22324 BUCKgg PATRICIA 8UUpCK PATRICIA 900 3/30/01 76.35 A 9Ei4TUNRUDDELL TX 76201 DEF7T4NRUDDtiLL 7% 76901 Arrangements not kept. /10/M 3/00LS 201 21164 bBUNDSH 7g,V N 141 LL,AOE EAST 22022T%CIA7620, IM06ON LLAOC EAST ~02ET%N 76201 Noyresponse to collection efforts./et 045. 50 201 18906 g0KEIGRCE MENA Mr. MIC14ASL MUM '1/30/81 53, E0 • D6N70N Tz 76^0401 ppss no I;19ACE HH I UuuITON T% 76201 NO responSe,to Collection efforts, 201 22472 DOY WICHITA nA&bN TX 76306 YIIICHI I'M TAR0ABLSN ' DOT%E 74005 9/2,9100 0/30/81 75.00 ¢ No response to Co11oCt1on efforts. 201 21777 1UYL R JANE 90LCHA L 8 #1l7 ' 'JANE 9107100 3/30/01 $8.50 990 IARLES #117 EE Rl1 LEWi MLLE 1 TX 79067 L WI8VILLI? TX 75067 811611CO after lnsurancel no response. 702 11266 11 YNUM . DEDDIE B NUM , BLLCN 9/01/00 3/30/0! 76,00 4p5 N MULDEARY 4 5 1 MULEERRY DL°WT'1N TX 76211 D NT& TX 76901 No response to collection efforts. 2143 Slab PAf)TOiC7XLt912 DILLIE CATA Lk 1912 BILLIE 12/14/00 r 3/30181 41.80 DENTO14 T% 76201 DENTOW T% 764101 No response to collectlon efforts. UU 1 21658 00XTE194 , BRENDA CA~ 1' 1` HER8CHCL 9/04/80 3/30/01 992.76 JUBIIN TX 76247 JUfiTiw4 TX 76247 Arrangements not kept. 1 96968 OnICR , KAREN C RTEn•. • . ALOCRT 9/1x/81 0/30/81 75.60 AROYLE TX 76726 ROME TX 76224 Unable to-locate. i 1 • M„rrwr,l,~. ' I I DATEr 3/31/91 10:1,11 , P L 0 Wr,...♦M..Ir M D R I A L H 0 S P I T A L PAGE 1) nAn DEBT TRANBPGR REPOnT FOR PERIOD 3/01/91 T)IRV 3/30/01 POWNT NUMQER PArrrrggNT MAME ■r<M*a~kw a or~Me♦ GUAnANTOR NAME r-4y~+la*e rpArrppw p871? WATE OP BALANC5 wX. NUMOCr NAME, ADDR, C1TYw BTU ZIP NAME, AtlDRCITY, GT_r7.tPrWr ADt417TtI) DISCHARptD xRITEOFF OF_xACCOUNT' ♦ w w w rY .rwwr x_.. ♦.r wwn uY x 101 MwMW 26559 CARTgR , KAREN CkRi~R ALBERT 2/17/01 2121181 3/30/91 1117.00 , AROYLE TX 762,76 ARGYLE TX 76226 Unable to locate, 201 21444 ARr(R ygRUNICA EATON t/ERONICA $/3d1$d ;I/30/O1 71.00 / 419 CHARLOTTg AP~ Ib X15 CHARLOTTE APT IL / fl NTON TX 76201 ATON TX 76201 No response t0 CO11eCElOn efforts, , CHARLES CcART 201 2"•680 r~~RT DOX 105 RT. BOX 108 CHARLES 10/07/00 3/00/$1 39.78 AVRAEY nn TX 76x^27 AVDALY TX 76827 No response to Collection efforts. rr 201 21100 I TtI!1IYH 011 JVANITA ~BTfi 1?H 02 VICTOR 0/17/$0 3/110/81 10,75 8NT~5 TX 76201 DIINTUN TX 76201 No responso to collection efforts, j 201 2207$ AOTSLyLO r SAMANTHA CAST I I.1 p , SAMANTHA 10/ 13/00 3/30/81 ,80 C AND 32 HNI81 HLAND gg07 HI HL _N, TX 76201 11ENT04 TX 76:01 NO response to collection efforts, 701 24277 lAfiKF14LI$T , JOHN c`kUUyTKjj 9 JOHN I,l/.2q/00 3/30/01 77.00 LEW $V LLE TX 78067 LEWISV LIST TX 78067 Unable to locate, 201 23940 LARK KtIV1N 401 SOMBER VISTA A00 RK 11/14/00 3/30/01 113.75 JOE E14 uN TX 762201 L ~NIBOMQER VISTA j IiUN TX 76201 Unable t0 lOtat@, i i9 201 23781 C AUpRg , VERAY C AU6 VERAY 11/09/e0 103 AOLIt M2f7 f~0I1 EAGLE M217 3/30/81 37.7p ; DaaaNiiiON TX 76201 DENTON Tx 76201 No response to collection efforts. 201 23096 CLAY , SHERRY BOX 40 W13 SIIEAgY 10/19/80 3/30/91 34.28 ry BAWER TX 76866 A14GEA TX 76266 No response to collection efforts, I 201 22098 R1AE9PACL'40 P KIM I4 MER SPACE 40 , KIM 10/13180 3/30191 136; 10 I OENTON TX 76201 DENTON TX 76201 N04response t0 Collection efforts, 101 2779 1j" 9 FrT WDATH DRI~KROY 1$S JFrT WORTH DR ' ROY 9/09%80 9/td/00 3/30/01 315,66 0 NTON TX 76901 ENTON TX 762201 NVedl left no address. 803 112138 8$CHAgv , DONNA 880HRAN , PLOYD 9/10/00 3/30/81 16,00 i KRUM ' 8 TX 76249 KRUXM TX 76249 No response to collection efforts. 102 11,7360 d zTUHATB 8T 033' BEVERLY PPFRY . JIMMY 9/:61$0 9/^29/80 3/30/01 230.60 , T% 76434 CATSXATE OT 030 I -TX 76h 234 No response to Collection efforts. i +I ra+_W/.wJ Mr♦r Mw ♦♦W .W►.uWW rJwr..MW.. YrYY rur♦.r r u. rrMwYr .+u ♦ M...... .r+wu ..a^......♦....I.u.u_..«.... r. w... _..u. ..r. .i. .r ..u ..u i , { I .~....s.._.-.-«...r.....x........r.n+Yr...«.rrw..r~r..Yrw.......♦e,...Y lc n' DAD DCBT TRANSFER REPORT FOR PERIOD 3/OI18l THRU 3/30/9l PATICNT NUMDER +4444144 PAT I ENT NAMI n4vnMrr*x rnNna+0.a OUANANTOR NAME ****Y*pM DATE-- DATR DATE OF DALANCE PFX NUMBER NAMC, ADDR, CCTY,__8Ti i[P NAME, ADDR, C1V 8T, ZIP ADFIITTED DIECHAACEO WRf1UO F OF ACCOUNT ..Y ............V ..V-- .u r VV-wN~♦ NVV • , j S 101 22965 CSIN JA'8TCR ~Q~N 0111 l0/l9/40 10/17/80 3/30101 299.18 [ 0 NINTH ST 0 NINTH 8T 9ANOCR TX 76226 SANGER TX 76226 Balance after insurance; no rospwso. 201, 24801 CRLE DAVID COLE DAVID 12/15/00 0/30/81 37.50 , DEENTON• ELM T% 76201 DIC~.'NTD14 ELM TX 76201 Unabte to locate, 101 23000 CO ;.INS r DONNA COLLI.IN JOHN 8 10/25/00 10/27/80 3/30/81 190.00 16. J-5 IT 3 167 J RT 3 ROANOKII TX 76262 ROANOK TX 76262 Balance after insurance; no response, 206 6440 CC?RLV4 BOYCE CORLEY , BOYce 10%214/00 0/30/91 22,50 k 4 Uk 110 RT 00X 110 VINLOONT AL 35179 VIN MUNT At. 35179 .30.40 201 2P337 CRIRNELL DED4IE CORNoLI. RANGY NQ ~~A ~i o ~tQ to. Collection effafIJ t~1/91 2 , EO , . • ORIUf:HPORT T% 76026 UIU11D(oBP6R7 TX 76026 No response to collection efforts, 202 4569 RV % w^ n0% 106 UVA CCppX UVA 10/23/00 3/90/91 61.50 RY,2 FRIGCU TX 75034 FR18C000X'106 TX 75034 No response to collection efforts, lot 21146 CcROSS ALMA cric. 3 JEWF,:. C 9/13/00 8/22/80 3/30/01 48.00 p. O DOX 57 P.O. nOX 57 AVIIRL Y T% 76227 AVOREY TX 76227 Balance after insurance! no respOnSto lot 6022 CPYICR + MARGARET CRYDLR RAY 0/08/79 9/;2/79 0/30/91 40.00 PIO. WINDSOR 2105 WINDSOR DCNIOIJ TX 76601 DU TON TX 76201• No response to collection efforts, 201 19168 PAl11YA , RAJIV DAIIIYA JAS N b/!R/q0 3/30/81 47.25 CnLLCOER0 A` TX 77002 CG~ELSI'.OERSTAL TX 77e02 No rosponse to collection efforts. q03 1812 DAL 1~1N MARGARET DAI TOIJ r JIMMY 11/02/00 0/00/91 16.00 F34 ;USE , ROSE UCN1'UN ITX 76201 llC14TO14 T% 76201 Balance after insurancel no eesponso' 203 6926 DALION , SUSANNA U~L~ON , JIMMY 10/07/00 3!30/91 16.00 E3:4 ROSE k GO% 02 DENtONG TX 76201 ROANOKE T% 76262 No response to collection efforts. Oq 6426 D'<TON , SUSANNA RALTNgSE JIMMY 1/R6/91 5/3d/81 58.00 ££lX'14TUNSE TX 76701 D6 N7O14 TX 76201 No response to collection efforts,.` 101 22026 ppALTO , WA14DA DpAL 014 , WANDA D 9115/00 9/17/80 3/00/9t 45,67 4219 F1R8T 431 FIRST ' DALLAS, TX 7Du10 DgLLAG TX 75210 Balance after paylllent froo Texas Rehab,$ no response to calleetlan efforts. I , 1 ' n . J BAD DEBT TRANBFER REPORT FOR PGRIOD 3/01/81 THRV 3/30/01 pp g 4TIQNT NIMDERI M4arMrMUD 71IjjVT NAME 444u+lma+1r 4wr44144 G~ARANtOR NAME 44r4rrR4 ADCD111Y8D D10CHAFOED WRlTGUP1 OFBAACCOVI4T 2Fk NUMBER NAME, ADDR C Y, T. ZIP NAME, ADDR, C1TY1 aTI ZIP--- kl++. '201 23107 RV OAYLA DANIEL , RICKY 10/19/00 3/30/81 40.85 RT. i BOX 50A RT. 1 BOX 50A AUBREY TX 76227 AUDRE'Y YX 76227 NO respOnse to CollertfOn efforts, z61 7099 BAIVOHfRTY TERI DAVOHEP.TY MARK 11/07100 3/30/01 00.50 } y024 GKNA 18224 ttii NA TX 7601 NO response t0 toll@CtSon effOrtSl DI(NTON YX 76201 DGNTON '201 18848 AV 0 , 09VERLY QA?)D SRA ROY 5/1:4/80 7i;30/61 109.50 Vll CAST OAK 6 39 WARD' BT 43 N ON TX 76701 ~IIOHLA140 CA 92346 NO rOtPonse to collection efforts, i p!I! 202 14343 RAMS BARBARA DAME , 'JOHNNY t I /L4/OO 3/30/01 53.00 NT I 0Y 65 DEN TIt RT € LOT 65 DEN TR DENTO TX 76201 D5NTON YX 76201 No responso to collection efforts. 201 25634 DAV18 , CHEBTP.R OAX9GW(1(10RVFn DONALD 1 3/30/OI 73, $0 47,, I4OpURUFF LEW?GV LL T% 70067 4FW10V1LL6 TX %11067 MOVeJ; left no addreSSl 201 24620 RgVIS JOH RAVIO JOHN 18/06/DO 3/30/91 3l 00 RT 9 141 TWIN LARKE 1f11 T 0 LOT 141 TWIN LK DENTONq7 TX 76201 DENTON TX 76201 No rOSporSO to collection effor~ 208 17746 LgON GHAWNDELLE DGLOW JOE 11/17/60 3/30/81 24,00 4 DOX 91 ppT 4 BOX 91 DENYON 7X 76.20 1 UKNTON ON TX 76eol No response to collection efforts. lot 10096 Q1 X014 GHANNA R~DOfR4 , KGRBY 5/19/00 5/zP/80 3/30/81 56' 98 ul l 611 4TH ST 9202 P~tOFE0elONAL GANOCA T% 76266 WICHIgIYA FALL TX 76302 , NO rOSponse to C011OCtion efforts. 202 20006 pp'?WNEY , MILDRED 7~1NFIUDDELL MILDRED 10/0$/00 3/30/01 02.49 7,.1 RVDDELL OENIUN TX 76201 OUNTON T% 76201 No response to collection efforts. 101 19992 JYNCAN , MARY RIO MANY 7/14/00 //10/80 3/:10/01 926.30 0 HT IigRYH OR M1 10 p7 WORTH DR N1 ENTON TX 76201 UGNTUN TX 762201 ArranpoanOnts not kept. 201 25024 pYSON RODGRT 014 ROBERT 12/'<!3/00 3/30/81 36.00 616 LONOONDERRY #h02 LONDONDERRY 0e02 ENTON TX 76101 U NTON TX 76201 No response to collection efforts. ~ , LARRY ELLtOT PROVtNE , LARRY l0/1'//80 3/30/OI 16.50 uu 201 23054 'to0y„~ nV1NE P. 28 WORTH T% 76103 No response to collection efforts. , WOR TX 76103 FT 201 22079 H RY , MELVIN SHAY CO T7 , TX MELVIN 762 .01 9/17/80 3/30/01 32.50 qq T EMERY T% 7&201 DENIM' No response to collection efforts, E D i i ~ I rt 1 { A rI ~•x w .l .1 1 1. t J I I I f5 4 I'IW't ll DAD IX0r I'llANOPrII RPPORT FOR PEn1OD 3/01/St Y14RU 31UC101 PATIENT NUMDER aa~n+aaaa PAT1CNT NAMC a+rraauar e++nru,w Ol1ARANt6R NAML'' w+ytl++r+► DAIV FAIV DATff QF IlA4ANC~t ` PFX Nl1MDCR NAME, AUDR, CrITY, ST_ ZIP NAMSi ADDn, CITYp Sh iIP~_~r^r rM1.rr_r. ADMIr1ED OItlr1AItOHD WRITEOFMF' Of nCCOvN7 ..r _ . I ~I Ik207 rU1411) , TONYA IRW114 , 01111. 9/i~9I110 3/20/81 17. a5 R t 1 L AII.IE fi140RE V,I It f 1,AHC SHONE r^.4 1 DC NI ON TX 76201 DCNIUN T% 'Y6201 No rosponso to collection offorts. 103 :IJII VVANB OLUNDA ~VANU , FRED It/IU/80 iIK1.0/d0 9130/81 751.30 910 'XOTT J41~ fiCl1T1' 111,141111 TX 76..^.01 UENION TX 76201 No respoilse t0 COlioction efforts. 201 14040 1'A IN MICHAL'I. VAlN , w1INON I/73/00 3/3o/O1 43.75 1011, OIIin14A If) f, : IVRRA i I1litJlllli T% 76201 N!jgILIN TX 76«101 NO rOSpOnsO t0 CO11000ft OffOrts. ; 201 2:1702 ✓:ARN11; RANDY FARRIS , RANDY 11/10/00 3/30/91 39.:0 IIII ANNA 1111 ANNA ! UCNTON TX 76201 000 ON TX 76201 Unable to locato. 101 20639 FAWV0" DAYIU FAWYOR , DAVID 0/10/00 8/16/00 3/30/81 52120.40 RT 9 VOX 220 RT J OnX 220 UCN1'UN TX 76201 UE:NTON rX 76201 Arrangements not, kept. 1 101 21310 FEAOi1JS KEVIN FEACIIIS JOHNNY 8/'124/80 0/29/60 3/30/81 1647.50 1 yp JOHNSON 1 `25 JOHNSON DENTnN 7X 76201 AEwTON TX 76201 Arrangements not kept. lot 12129 FEHRENOACH OERARD E}IRENRACH , OERAnD 1a^/1D/79 7/01/60 3/30/81 4935.30 7017 W. SYCAMORR M13 O1 7 IJ, SYCAMORE M3 VENTON TX 76201 DENTON 7X 76201 Arrangements riot kept. 201 23080. FENNFLL LAWRENCE MRRELL LAWRENCE 11/1'1/00 3/30/01 60.00 1 RAMADA INN ROOM 17~ nA~ADAINN RM172 I YN1N TX 76201 Dl IJTON TX 762VI Unablo to locate', 1 101 0625 I~IFLOO ALICE 17Fa.D9 COY S/2Y/7? 9/:7/79 3/30/01 420.95 Jg0'1 MULHEY IONS NULVEY Arrangements not kept. E uH00') M 7% 76101 UL'.NTDN T% 76:01 1 201 23311 FbOWF,R$ IRMA PLO1If~6 0ILLY 10/23/00 ^3/30/01 38.33 6 17 WAOONEY 61119 VOONET FT WORTH TX 7611h FT WOIITH TX 76114 NO response to collOCtlon efforts, F 102 (1125 FORE , BETTY FORVE HORACE 9/04/00 9/16/00 3/30/81 1$18100 iii r n b 1' 10 MDABL~ t MORBE U~NFCIJ 7X 76201 U~NTON T% 767.Oi Anrangellents not. kept, ~ . 1 22999 Pisrui , OE:OR02 F0,9ycl MOM 10/14(00 3/30/$1 104.70 ~1 1x410 MORSE 1410 MOR99 4 1 DeNTON TX 76201 MENT01, T% 76^201 Arrangements not kept, 10[ .4334 QA NC.qq EMMfYTY AI Nei EMMETT 12/10/80 12/15/80 3/30/81' 191.19 133 F'A1BLE1' 131 1 nJ6Lev ^ NOVedti left no address. DENTON Tk 76.^Ol OEN OIJ T% 76x01 i t ' i` .....w...+r......•.JrW......w...w-.+...,....w.....rr.r..r.r«..w........r.u ww..i.. ..r w.l w.. .r. ..r rr ~l ♦w.J.Y YF.w+wr..u......rW.. ..r ...1 r.. ..r r...... Ir.. 4w. W 11 I ! I 1 f , i ' ~.....e.....r. mow..-•I ,5 11,. SAD DSBT.TRANOFEn Of-PORT FOR PERIOD 31OL/Ftl THRU 3/30/91 II PATIENT N~ tlSR ►►are►p►d PArr CNT NNAMC 4►►►rdpdd RpdpdplR OVARANTpA NAMP. MdRdpddd HnATEf' DATF DATE' (1F VALANCCE PFX NUMUKR NAME, ADDR, C1 TY, 8T, ZIP NAME, ADDN, CITY, S1', ZIP. AOMITt'LI) p18CHANOSO WRITE0IY bF ACCQ~NT »w..»....... ._.._.."_.....__..r.._.,w_-__.. ....r............ I., lot 22061 A,AVIE , JOE OALAVI JO59PHINS 10/03/00 to/U:1/Bo 3/30/01 114.10 R1 CO.79A, TX 70034 FRISCO 274A TX 70034 80 response to C0110CtiOn efforts, 201 73729 Jlr MdLlOX 149A , POLLY 1o~AMI~LGOX 149A POLLY 1L/01VU0 3/30/81 32. as NN1U TX 78119 VNIS 7X 75119 No responso to Collection efforts, 1, 92463 AROIA ERN CCARpC[A DEN 9/29/80 3/30/61 20.00 R9 WITHSn6 9 HERS 1 NTON T% 76201 UNION TX 76201 No response to collection' efforts, 201 94230 0~jIJYNN RUNppn CV}lARLRB oARDNVa CHARLES 11/1;6/80 3/30/8L 131,10 ' r{~S TRAILER PARlS k3 WYNNB TRAILER PARK p tlBN1ON TX 76201 DSNTON TX 76401 Unable to locate, 208 16077 0021 , ELIAS 0An EA ELIAS 11/03/00 3/30/01 16.00 P. 0. DOk 974 P. D tl0 t 974 OCNIU14 TX 76201 OUNT014 TX 76,,,01 Balance after lnsurancol no response.' 1 96187 tltl6Rg , LANA Eg LANA r^^./10/01 3/30/61 60.00 2b~NTI,O NDONDCRAY LN 8201 76901 ~ iONDONOERRY LN N801X 76201 Arrangements not kopt. 14 TX - UNtON 1 21849 01 RI1(1N DONALD MOONS DONALD 9/09/00 3/30/01 V16. 90 U444 It IRBON 1063 0A44 I'VERSON 1063 DALLAS TX 79940 DALLAS TX 702?40 Arrangements not kept, 20) 25477 90s11.1ENT WENDY 018h EDORETTA 1/07/01 9/30/01 37. 30 GENTiOTLLAOfEAOT NfOA TX 7620L &C7ONlLLAOR EAST ~1J04TX 76:01 Unable to locate, ~I 201 14333 00ppSR , JASON OCDEpp DONALD 11/O2/00 3/30101 3:2,90 714 LAKEY 714 LAVEY DENTON TX. 76701 DENTON TX 76201 NO response to collection efforts. 101, 18043 00jI)EN PAT tO}payg PAT 3/10/00 9/24/00 3/30/81 20.76 SANOERLLOW TX 76966 HANOCNLLOW TX 76766 8alantO after insllrantel no response, j lot 2611PT7 OVAN BETH 0Ot/AN WILLIAM ^.!03/81 2/OD/S1 9/30/01 09P.70 ~ N7$MX1412 TX 76701 PDkNi'ON '412 TX 76701 Unable to lOCetO, 101 23443 O PO Box AAHAM WAYNE OnAHAM WAYNE E l0/30/00 11/03/00 3/30/81 644,45 LAKE PALMS TX Tom LAKFODALLAS TX 73060 HOVedl left no address, Y 201 29866 QRANT , TERRY RANT r TERRY 10/12/00 3/30/81 42.00 UPTONL [FERRO T% 76901 nIINTONL1AFERRO T% 76201 No response to collection efforts. ' 1~Y.wr.W•..,,r•rw...M4t.....w.4•w i~V.....,ruw.Y w~rw.~.,u«w..•. ,ww .M N. r..,wY •r: ..•w w. i.. I , I I , l .r..........._.._.. ................~.+wYY MIMwM„w ~..er..r ~.~.r~.~.-.--...~. r._~..... •.awNw......s•....w....r....~.~........~r•......r..rr.....w••e.wrw.....++rrr•wr.+..rr.•a.•.,r•.. ..u.«w«.,..n.,•.. r..~...r....•».... ' r. V, 4- e OAD DEDY TRANVCN M'OnT FOR PERIOD 3/01/01 THRU 3/30181 I f PATIENT NUMO~k 00a0e44r4 PATIENT NAME an00#04x0 4r+t4000p GUARANTOR NAME rw0wr4rr DATL DATR DAT OF D9LANCE I PVx NUMBS NAME, ADDR, CTY, OT, 21P NAME, ADUR, CITY, S1, ZIP AUIyIT(P.D DISCkA CEp WRI SOE'F OF ACCOUNT y 102 11443 (RRAVI'S STGPHEN CRAV9S GTCFIAEN 2/10/00 2/13/80 3/30/01 265.60 1 7F4 Hf:TT1E 7a^4 H;(TTIE DEW ON TX 76201 DENTON TX 76201 No response to Collection efforts, 201 26167 CRAY CAREY CRAY DOODY 1/29/01 3/30/81 42.00 1904 HOUSTON PL 11704 HOUSTON PL DENYON Tk 76VOI UJ NI ON TX 76201 Unable to locate, 202 6458 GROPNPWOI. OGRARD JR 0IIOEN5,14C1L CERARD JN 10/po/80 3/30/01 100.10 Plu 1/2 O1) RYAN STRE 210 1/2 D RYAN DTRE•., DENTON TX 76261 bCNi'ON TX 76201 No response to collection efforts, 201 ~42Y4 HAIXY , LINDA HALEY LINDA 11/09/00 3/30/01 103.00 P(1 11OX e91 PO DOX 291 LAM: DALLAS TX 75066 LAKE DALLAS TX 75065 Unable to locate. 201 20944 HARDY EUOr"F FppIARDY EUOENE 0/12/80 3/30/81 160.20 LEO1N7p20S TX 76201 UMON05 TX 76201 No response to collection efforts, F 204 71$Z He (NW JAMES HANDY JAMES 17/19/80 9/30/81 64,20 '.•l" H JANNIG ST. 50(d M. JANNIE ST. DL NION TX 76201 UGNTON TX 76201 Movedl left no address. 20U 7112 WMY JAMES HARPY , JAMES 9/26/00 3/30/01 44,00 `10,' N ANNIE ST. 502 N. JANNIE 8T. DEMON TX 76201 DEN TON TX 76201 Movedt loft no address. 203 3097. 11Aku ALMA HARL. , ALMA 0/31/00 3/30/61 39.00 10(1:1 IC SYCAIIOIla 1002 E. SYCAMORE UF.'141oF1 TX 76201 DENTON TX 76,".0t NO reapOnso t0 ce11ec00A effOrta, 101 20056 HARMON WANDA HARMON CHARLES T 8114/00 MOM 3/30/01 091.40 fA1tC00X 1.bT . PRISCO X 1i:FiT TX 76034 TX 75034 Arrangements not kept, ( .50 ~2X8"a0 FAW%IFIS SHARON iAWKlW SHARON 10/11/00 3/30/81 40 .OS 0,1 I NGVOTR I AL 904 H UiTTR I AL FMN1ON TX 76201 DENTON TX 76201 No response to Colicctlon efforts. 207 17064 HE•AYHE FILY SUSAN hDSATkL(1 Y SUSAN 9/01/00, 3/30/81 5'5.00 6011 FALLMEADOW 01 1230 AV~ A j DENTON TX 76801 DENYGN TX 76201 MovedE left no address, 201 ".1170 HDERttttppN DILLY pp biNT EARL 0/10/00 3/30/01 67,00 e 16- 1 0U% 113 N~ Df1X 113 JUSTIN TX 76847 JUEiT1N TX 76247 No response to collection efforts, 101 20295 HENRY DRDRA HpPNFV , KENNETH 7/22/80 7/23/80 3/30/81 106.86 pGIJTUN 1311 7X 76x01 GLNDYOX i311 TX 76201 NO response t0 Collection efforts, 1 - 1 Ott, • ` WIN~'Mir, DAD DEOT TRANSPER REPORT FOR PERIOD 3/OL/St THRV 3!30/01 PATIENT NiJt~BxR rbar###a; pATIggNT NAME »#Naq;pu# ;ux##+r#d OU+.nAPlTOR»NAME #;#r#eab nAT> IIATf D TR OF RA4~~UVNT PFX iJUM 6R IlANL•', ADOR,,.CITY, ST, ZIP NAM8, ADIIR, 011, ST, ZIP » AU11lTTEu 01SChAROED WIt1rLaPP' OF AA » 207 10826 NRY JACOVE HENRY , JACOUE 0 9/62?/BO 3/30/01 1001,24 07 I.Otlp 208 MP-10 309 LOOP 2D8 OP-12 h DENTON . TX 76201 DENTOI~ T% 76201 Mov@dl loft no 0ddressr 101 21478 II%N rrJDEt ALVARADO VkHNANDEZ , ALVARADO 8/29/00 9/04180 3/30/Ot 1966.15 r 1Ai1tK 7 •7 B ELM pill00tS not k@. LIIW18VILLkIN T% 79067 DFN1'ON T% 76201 Apppn9 pt ; 102• St08 HHkN t r YOLANDA• .ERNANDFZE +rJESVB 2/03/80 $/05/60 3/30/81 316:00 16 II1A ANR% Tx 76201 DENT ON 1•X 761,01 No response to Collection efforts. DE 14 1 ON 201 21342 H14K0 DONNA HICKS DONNA 8/08180 1/30/81 29.00 V 110 1/8 PEACH p NSpN2 PEACH TX 76201 DENT014 TX 76201 NO t'OSpOnSO t0 Collection OffOrtS, 201 71096 HICKS SHANNON HICKS ARCHIE 0/16/00 3/30/81 4a. 00 DEW No reSponSO to collection efforts. 9ll tN A1NWR10Hr TX 76201 511 DENTON WAiN14110HT TX 76201 201 22563 HhUA AgRb2p OAY HIILL11%RR20 OAY 10/03/DO 3/30/81 36,50 PO 2 LAKLDALLAS TX 75065 LAKErDALLAS T% 70069 NO responso to Collection efforts, lot 8367 l'n8R'pptl% 202 CHRIS HODO OD% 262 RODERT 1/I1/80 1114/00 3/30/81 959.49 CAtUW.LL ID 83609 CALDWELL ID 87609 Arrangements not kept. 202 16202 jCE~OLIVAR MICHAEL DUESMAOLIVAR TOM 10109/00 3/30/01 37.00 rl UNION TX 76801 DRNION TX 76201 No 1,asp6nse to Collection efforts, 202 14447 Hr'1.l~AND SHERMAN HOLLAND SHERMAN 8/30100 3/30/01 52,70 <0 W L80N 1009 141LOON TX 76201 No response t0 collection efforts, balance after ~iENrnN TX 76201 DENTOIJ In~u I( yp V8oi'HO 3/30/68 16.10 201. 2a^620 Np Ll V , DEBORAH RT. 3YBtlX 360 JAMES HT. ' BtlX 360 DEIJTON T% 76201 DENTON TX 76201 NO response; balance after inSU1'aRC@. 207 18939 H MAN RANDALL HOMAN RANDALL 10/16/00 3/30/81 116,59 ID NORTH" ELM 11C 1512 NORTH ELM SIC NTON TX 76201 DENTON TX 76201 Moved; left no address, 201 21064 HtlV EH , KAY HQ~3~SR KAY 0/16/OO 3/30/81 49. 2P ' 233) gg M1TCHRLL H.« E MITCHITLL 4 AHLINOTON Tx 76010 ARLINOTON TX O No response to collection efforts, 201 72007 A 37r3ILJHNVIEW Cf r TIM ~flytjlllG.NOview CT LYNN l0/10/8G 3/30/81 77, 9 Pt WORTH Tx 76110 CRT WORTH TX 76118 No response to C411ecti4n 6ff0rt5, r... »W..V U••..,✓»••~i~•.W w..•..,, ••r.rr w.•• r..i r•ru•,w, n•MW it • r.i .rur r.+r • ..r r r. .•i• • , r • 1 { I I I t r .w Al l)CGY TnAN81'CR PF:IONT FOR PERIOD 3/01/01 THRU 300/01 PATIENT NVMUCFt taraaiaa❑ PArI('NY NAIt1; unauaunua Kdwaao•.a OUAPAN1'~j R NAME paauwa** DAT(~ pATR DAYP OF 3A ANC£ PFX Numuek NAP4.. AUDN, CITY, OT, YIN NAM@., ADDR, C11f. $1, 21N AmiIITh.G G18CHARCL'p WRITEUPF OFMM»=JVNT 201 22196 I t1l tq(d/dtG CrtA10 ROWA1 60 IM CRAIG 9/e^.1/80 3/30/01 54.90 ANCVLE TX 762x6 ANOYLE TX 76226 NO response to Collection efforts, 1 2221396 H PIT OWARD PATRICK NN WAno , HARVEY 0/22/60 3'30/01 40.00 AUBI~1;00k 90-A TX 76227 AVOREY0X 90-A TX 762227 No response to collection efforts. 201 23129 k014F'U. AORA HOWRI1 , AORA 10/20/00 3/00/61 39.90 1:NI'uN(IDINAI.DR, N0. 4 TX 76201 p!'NTpNRU1NAL NO 04 ' TX 76201 NO response to C011eCHOA efforts, 201 1163 HOWC,LW KENNETH Hf~WWL~. KRIJNeYH 9/2226/00 3/30/01 43.50 Rr t OX 46 Rt 0X96 AUR11r.Y T% 76227 AUnR(-.Y TX 76227 N'', response to collection efforts. I 201 2221931 HOWCLL KEVIN t(0WEL KEVIN 8/31/00 3/30101 41,25 i U t 0 11t(ANDER 010 *ANOER ABILGN6 TX 79607 AD ILEWC TX 79607 No response to collection efforts. 201 17092 HUNT MARILYN UUNT , MARILYN 9/0/00 3/30/81 $6.90 WHITES00R0 TX 76^73 WH(7E8nORO TX 76273 No response to collection efforts. 199 60641 HURO CAR H Pot 0 URD , DAN 9/07/78 9/IP/76 3/30/01 1099.85 76201 DENTON CRAIJFORp TX 76201 Arrangements not kept, 202 21139 INO HELEN IrNrG , HELEN 8/29/00 3/30/01 031.49 UENTUNGdX nd TX 76001 UL~NUIN0nX 96 TX 76201 MOYO(1i left no address. w 101 19441, JACRSSt1(V MARY JrA'fCKOUuW 3 JOHN 0/15/00 0/19/GO 3/Go/61 129.00 fnlLr~f P61N14 *X 76290 f'ILtlr' N i0IN1'4 Tx 76'93 Arrangen,onts not kept, 102 20071 JAM 3 , LINDA JA1181; LINDA 9/02/00 9/04/00 3/30/01 1196. 10 f I)ALLASpUBHMILL9 TX 702.43 DALLAK RVSHM1L48 TX 75243 No response to collection efforts. { 201 ?1263 f1AUItK 423. JA(1I E WSLKERtihN LOYD a/^:(/00 3/30/81 41.99 PO nOX 423 JiA1JGtin TX 76266 WMC-."R TX 76266 NO response to colloctioh efforts, 201 21000 OHN11014 ERilEBT JOHNAHN , ERN£OT 9/10160 3/30/61 59.50 BU AOH 399 A N LL•'WIUVILLII TX 75067 LEWI;SVILLE TX 75067 No response to collection efforts, k tot 20904 J INSON JROslit 109'6914 . GLORIA H 13/13/00 6/20/80 3/30/01 90,00 j i 29 rPNBk FY 1024 FT 1024 1 DALLAS TX 75221- DALLAS 'fX 79221 Moved( left no address, i t i S I ' 1 i v I 1 uAlh J/J1/Hl lJ;JU: P L 0 W M E M O R I A L H 0 8 N 1 T A L PA09 13 DAD DEBT TRANSFER REPORT FOR PERIOD 3/01/01 THRU 3/30101 p p PATIENT NOMp R s~kakkk~M PATj&NT NAM[ IFikkkykkR Rk«o +nM GUARANTOR kA11E «wkxk**d A014111EQD DIBGHARCED WRITEOFF OPDAACCOUNT 4. , PFX NUMB ER NAME. ADDR, CTY, STr 2IP NAME, ADDn, C11Y, T, 2l1 .._.IYM.---------_ -..1 9/10/an 3/30/01 41.00 201 51901 ,.Y 1pHN8 NN 4W0 RLOW000 kO WAGE TX 76201 Unable to locate. UENIUN 101 20036 JSNRO% 1003 MARVIN (J+pI~aLIX 1903 MARVIN 040/80 8/tl/80 3/30/81 157.90 UENIUN TX 76201 DENTON TX 76201 NO rOSPOnsel balance After insurance. 201 23004 ppN 9 , BALLY NggS SALLY 10/1S/00 3/30/81 24.00 X81 MURlE ttl MORSE UEN ON TX 76201 D.NTON TX 76201 Moved; left no address, 101 1087 ARFT RANN JVAftC•Z qNICE 6/10/80 6/19/00 3/30/01 288.90 Ud ,3 nak 1 ACORN RANCH RT nOX S ACORN R~NC% ' 76201 Moved; loft no address. DENION X 76201 DENTON T 201 21974 KAwONHCAD ANN KAQDGNHUP& ANN 9/13100 3/301431 00.50 1706 VILLAGE EAST 10: yy1 VILLAvE EAUT 102TX 76201 Moved; loft no address. DENTON TX 76201 DV. 14 101 25620 KALE3, 00 143 BRENDA RIALE° LONNIE 9/Or/80 9/12/00 3/30/01 3163.60 T n0X 143 LEWIBVSLL6 TX 79067 LEWIWVILL$ TX 7501,7 Arrangements not kept. 9 JESSE 12/06/00 3/30/tll 36. s^9 201 74486 KEF'10N , pNONDA KER;U14 UNIVERSITY 500 E UNIVERSITY ENTON Tx 75201 DENI'ON TX 75201 Moved; loft no address. WI 101 17092 KENNi:I~V , DAVID ~IR NLRY DAVID 4/19/So 4/22/80 3/30/01 6511!. 30 701 11 `"'Wig TX 762 1 66 IFrliid078~p1J1E Tx 76299 Arrangements not kept. 1vU~UNA 101 18445 ~~jSNN5MCR R , JERRY YT rIL1tlLIVAR JERRY 0/70/00 6/09/00 3/00/01 1011.00 q4NOER TX 76266 BANGER Tx 76266 NO response to collection efforts. 202 12937 KIMBLE , LEBL18 KI11D~E MCLVIN 12/00/30 3/30/81 99,60 RT. 1, BOX 120 BID 111TH 6T BOX 1 Tx 76209 DENTON TX 76201 Movea; left no address. PIL P 1114/80 3/30/Ell 141^2. 91 101 12910 PONDER i NANCY t INOEN<r % 7OT99OINT TX 762 ry50 A JAR LE RD BOX 240 TX 760:0 Arrangements net kept. CI lot 146O1 uuLUCK , KATHRYN KLUC DON 2/14/00 2/16/80 3/30/81 467. 20 RY BOX 4l6 TX 76201 DBNINBOX 616 DEkTU N TX 76201 Arrangements not kept. got 241,11 UOTRYN r DONNA ~08R10X 4051 NTBU' DONNA 11/22/00 3/30/01 106.00 pLOkTaHOI HTBU TX 76203 MON YX 76203 Moved; left no address. 1 r, . 1 t i 3 1 {f 1 ' I z / 1 , rr~^ 0151°_ 3/JIi81 10 31'. F L 0 14 M E 1J O n I A L H U S P I T A L S4 PAD DrI1T TNANUI'CR ftrVOnT POR PEnIDD 3/01/81 THPU 3/10/fit PAIENYNUMUCk NAMt- 41)UR, C TY, OT, NAME ZIl' NAEH R, C I I' J1(IANTOn-NAME~a»wuMll»7r A181IIIED DISCHARGED WRITTOOVF OF ACCOU ~ NT PtX NW1UL•'I< NANk AUDn CIITY 9T, NAME, AUOl1nY, - ZIP - I 20S'll LAMIIENT 5U[: I.AMGrtT OUti 8/11/90 3/30/01 026.130 RT NO 33 LAKE SHORES AT w' UUX 33 LAKE SHORE DLNiON TX 76201 DCNTO14 TX 76201 kPrenOQmBnte not kept, 101 13234 LAIli ' LA14ICVK WILLIAM 1/22/80 3/30/2, 117,20 CA1l CHIKAI,O 41:' r: MONDE 212 rjVIRD9 UW111VILLE T% 79067 LIsWIGVLLG TX 79067 NO response t0 ColleCtiOn efforts. 103 17000 LANOI:K W60LCY L,AI(nCK WESLEY 9/16/80 9/10/80 0/30/91 I 283.80 PO vnx ?991 PO CUX 2991 0011UN TX 76201 DLrtrGN TX 76201 No response to collection efforts, Vol 22980 yAnUd , JOSEPH L flllt JOSEPH 10118/00 3/30/01 94, 90 31:4 IIUMMIN031AD 3:^• HUMMIN001nU DBIJ I ON TX 76201 DiiNT012 7X 76201 Movedl left no address, 201 22461 LCMA5TI A KATHY I I';r'lA%tItR KATHY 9/30/80 3/30/8! 40.00 4000 c mdrOND 4600 CNAwvonO T111; CpLON'I T% 77777 llik COLUNY TX 77777 Movedl left no address, lot 21909 LEROY 71PPANNY LEROY- CAnY 9/10/80 9/19/90 0/30/91 7934. 1b thOd C Vii.LAOM4102 16013 F. VILI AGCe102 , UCNrON TX 76POL Ufml ON TX 76201 Movodi left no address, 1 0873 LLI415 MAI+Y LSW16 MAnV 4/10/nO 9130101 40,00 2.^17 CLENWOOD ?,117 01.0111401) DENFUN TX 76201 Or'1+I8W TX 762201 No mpom to Coll4etIOn efforts, JOHNNY O/24/00 9/27/00 3/30/01 624, 09, IOR 19018 It1(atr 0Ok 9G SHANNON ryI(-I; 10 PLr;vvot MUulio TX 79020 FLOWER MOUND TX 70028 Moved; left no address, 101 10016 Ll olITnOX 90 TENR1 t~r011t~OX y0 JOHNNY 6/09/8'0 6/19/00 3i30/91 .^791161 III I FI..'1401 MOUND Tx l L(1WE:ft laoul+D TX Movedl left no address. 101 21296 1NVNSCfIMIpT yS1DNA ~r N~',Nfi H1110T H w 6/21/00 9/26/00 3/'00/61 1391.88 RT 9 1101 243 TWL MHP fIT 3 u X 2,13 TWL MhP UC(IION TX 76201 U(INTON TX 76201 80 response to Colloctlnn efforts, 101 11369 ft' 1 AONE6 lu CALE9 12/23179 3/30/61 ::70100 UX ^033,NT STATION Ox 6S33,I4T STATION liNTON TX 7621101 EW1ON TX 76201 No response to colloctlon efforts, I` 201 ,4494 IUHU , CANADA. L~h+Q 1 CANADA 1e106/60 3/30/81 67100 SOk 23 TX 7626t Movedl loft no address. uENiONOk 23 TX 76205 D NTON 201 21590 801+0 7010 9/02/80 3/30/91 140.90 . 71 W HICKORY (+I ON TX 76.0 1 [lovadl loft no address, I~IJ ' ~..~Y...~w.r H.I.u. w.rMV r1.. .n.... •ru..• ....~•....V.rrl........w~rV..~~.~....+r~~M........rFJ.~..M•.w~uu.•I~n~..rl4.~..~.u~; •.~HMFa_.W..~wi.r..~YwM..M/•~uw.,~r~~~.i~..r~..l•...VM.MIrJ .rYr I 1 I , • 1 1 I . 1 r i 134. p it f w, h L U W 11 L• PI U H I A L 11 U; N I 1 A L I.11Uk i J { V/llk .!/Jl/tJl lUl Jll DAD DEBT TRANBFaR REPORT VOR PERIOD 3/01/01 THRU 1/30/81 , DATG Or DALAIJCH IAItOEU WRI IEpf > UP--ACCOUNT PATIENT NIJMO&R ra`. -MeaayPATCNT-NAME *ra*aa=• =k*4na~r«C''nRAPJTC111'NAMu^+IpyYy-4p Apj11fil[D DATE NAI1ii AUOR, CITY+ OT. ZIP IJAME+ AU-- CITY, YJF - 1 OUIY3 JUfi{:PH 30/:1/80 3/30/11 42, 10 HELEN 201 23179 LOUIS 1900 SAM IIAJIS 07:1 1900 VAM RASS 023 DENION TX 76201 OL141 UN Y% 76'R01 MovodJ left no address. + 111CHAEL LOVE 111KL•: 1:1/11111/110 3130/1.31 100. 90 f ~O23A LOVE 4 I P It I DrECR{{81' 4SS,! R1Ur£CIlCRY YX 76201 OGNIUN YX 76201 No response to ColloCtion offorts, ULP71 UN 0 N CLYD4 9/04/00 9/00/00 3/30/01 153. 98 101 17972 Lp$XVE).IA~1Y CLYDE 700 *IL'AnHA11p1.G NION 'IA HANDLE TX 76201 DLNION TX 76201 No response; balance after insurance. p ' SAIJII"A L VI_7T WILLIAM 70.'76/80 0/30/11 40. 00 801 23070 1,9VETj " 107 ARCHER 2051 ' ' L'E411SV[LLti <48l % 78067 LEW10VILLE TX 7506'/ Moved{ I6ft no address, MARO1E LULCK VINCE14T 6/16/80 3/'30/81 119.00 902 13816 G4KnOX 149 D ni. I MIX 149 0 RIF3C0 TX 75034 F'RIUCO T% 75034 No response to collection efforts, 102 1009 VY14CH KATHY 4YNCH WAYNE 1Z'/02/p0 17/07/80 3/30/01 1656.30 0 0 LOCUST #22 X10 S LOCUST #u2 ' DENTUN TX 76:01 UGNTOf1 Tx 76201 Moved-, loft no address, 209 3809 LYN1; KATHY ~SOCS LOCUST 1127 ' WAYN£ 1/010/01 3/30/81 38.00 910 S LOCUST 022 UENTON T% 76:01 UENTD{I 1'% 76e01 Moved{ left no address. , 0/00/91. 10. 3u 201 2`2009 YVIA C 1013 yYNN 1 {%,0! W HICKORY D LN HICKORY CTXION 76201 Moved; 9/?.l7oft/SO no address, DGNTpN YX 76201 DENT0 TUIJ 301 21190 t1h111G0N DONNA MADI13ON GARY 11/30/00 J, /OF/00 3/:10/01 994.60 84:1.11 1 nSON 44:1:1 01 RION L£IJIGVIL.LL TX 7`3067 LEWIbVILLE TX 75067 No response to Coll" tion efforts, 8/:4/80 3/30/81 300.00 101 10324 AU~U C1,'D PSLICIA 51 018) ELL #169 ' SAMUEL l DE~N,ITpII~IUCLL #169 TX 76901 DENTON T% 76701 Arrangononts not kept. OtlR10 ^ ~IATa£SOff DOR18 9/V/00 9/:9/80 3/30/01 41.91 102 20490 MR1A'1HESON ILOT POINT TX %6,80 Moved; left no address. { f~tL8T POINT TX 76208 PT 101 90413 j904A?8N I DONNA PAj;11yOWER APT #2, OVENTIN L 7/27/80 7/".7/00 3/30101 42 75 `I yy " AT . `OKLAHOMA CJTY OK 73110 ONLAH011A CITY OK Moved; left no address. 11/92/80 3x01 24130 9 AD ID IN VALLEI' ' DAVTX 761401 ENT ~~B VALLEY / DAVID 76201 MoVedl le're no address. 3/3 /81 62' S0 ?INTN t 7 I ~ i Lv,Ir J/JI/UI IU..II. r ll W I'1 L li U k I U '6 11 1 I A L VAOE 16 DAD U,".DT TRANSFER IILL IRT FOR PERIOD 3101101 THRU 3/30/81 PATIENT W11111CR nn,+y4144 PATIr.MT NAME: 4+0104R44 40+11114 O~W?ANTOR NAME? •#R,►raa IIATC DATE Dp'fl? Of BALANCE PI X NUMIILH NAm, ADO11, CITY, 81, 711' NAMI.I AUDIT 1:11Y, il, ZIP All III'IED DIUCHAIIOCD WfIITEar OF AGC vyr ::all 26015 p![ (,k,; RICK r•It;hrrs FRANCES vP!,/U1 3/301131 , 44 %r1 1!)01 NFADOWR I!!()I 19f:A00W 01:NI11N TX 76201 DEN ION TX 76201Movad; left no address, 101 13:104 MI11u11 I SARA hI11)1:111' , IIICHAEL 1/00100 3/09/00 3/30/01 ..00.,00 I-AI I W11WAD URIVG I'A,, ruIllYAl1 IIIIIVV IM14N0VILLr. OK 7J43U uuuH4tiVit.LL OK 7's•130 MJvedl loft no addro95, 201 21058 f11h:IlUP KIM PHTIDEfl DAVID W 0/!5/00 0/30/8! ll , 60,.7'.1,, 111 4 POX •113 RT. 4 1 i1X 413 Dr.NION Tx 76201 DLN101•1 TX 76701 No response to Collection efforts, 1 22734 M 1,01 Ik.IWHMULIIL'ftRY DHENDA DjII10MIX N 36Ii1TH DEPT, 10/08/no 3/30/81 OA D04 ION TX 76201 DEN1'LIN TX 76201 Moved; loft no address, f fMTL 1,IRflX 193E oRUCr 1/2^7/01 3/30/8! 3D. 09 201 2606; H1ILLE 10% 193E LATISHA i AkCYLC TX 76226 AROYLC TX 76226 Moved; left no address, 201 29447 1111.1,8 STEPHANIE MALS Ca )Y 1/08/01 3/30/81 49.10 ACORN TRAILCR PARK "102 A ORN TRAILER PARK 4 0 OENTON TX 76201 DCIITON X 76801 Moved; left no address, l01 21780 MUDR168 CAROLYN 'MORRIS JACKIE L 9/11/30 7/10/80 3/30/81 688.90 I f VILL I EW DR 141 11 ONVIIQW 0R response to Colloctlpn effort9. LWISVLLL T% 70067 l.kiW1UV3LLE T% 79067 201 29402 N1010.0 LAVERNA NICHilt. 5 pp`` HOWARD 1/09/01 3/30/81 114, 00 LLWISVIILLDUPP TX 79067 L6lu &W1UV1Il.LCUFr TX 79067 Moved,. left no address, I 22994 NIKOCH 0014NA I KUF.H HAM ID !0/16/80 0/30181 46,00 2511 CHARLOTTE 45 $I CHARLOTTE 48 MOVBd; loft no 8ddr09s,' DEN1014 TX Y6201 fINTON TX 76-"08 801 22397 g0Fltl.ITNjn JESSICA ~DERLIINER 111CHAEL 9/26/00 3/3b/8l 32,90 7100 9O. 1CM110N8 0 Rax 165 DENTON TX 76201 OL+NTON TX 76201 Moved; left no address, 801 24962 R~AOH HAll 1D 1JACH HAMID 10/21/00 0/30/81 69.00 i Of W OAK 413 40f Ia OAK 413 Moved; left no address, OQNTUN TX 767.01 CNTON TX 76201 X u 101 16149 ~RANUll~3 NT 8TA ' AUOUSTINA ORANViSl NT s37A r WILVARD 7/04180 7/07/SO '3/30/81 201!.90 F.NfUN 7x 76203 oLNTaN TX 76203 No response to Collection efforts, 209 3537 PARKER GARY PARKER GARY 2/06/81 3/oVel 30. 59 t G'~IfaNOVIFt "S TX •76901 AdN ONOUISL "8 TX 76201 No response to collection efforts, I ' 1 4 , y _ f f k N , L 1 (I .P ~h k, i RATS 3/31 /8l 1o: 3L• F L 0 W M E M 0 R I A L H 0$ N I 7 A L1 i4 BAD DEBT TRANSP'ER REPORT POR P911100 3/Ol/Hl TIIRU 3/30/131 PATIENT NUMBER AIIBe npa PATH NT NAAMC nap}Iprppa 4aeaapap GUARANTOR NAME w*apapaM DATE DATE PATE OF SALANCti PRk NUNEEq NAhE, AUOR, CS Y, 137, ZIP NAMg, ADUR,'CITri ST, ZIP ADMITTED DISCHAn0E0 RITEOPF OF ALcOUNT 202 02283 PARK ~,H JIMMY PARKER JIMMY IR/04/n0 3/30/01 9$ 75 P00 1l 6ML 054 RT A IICIX 206A UENTON TX 76101 AUD ITY TX 76;87 Mevod; left no address, 201 203$7 nAHIs +,frlLQU I Sir LISA r♦ARKa:R DALTON IP/OIJOo I 3/10/01 $61 so A '2'qqP LOUIE DENTON ,X 76201 OIINTON T% 76201 Moved; loft no addross, 204 1012 Prfn4 I MAn0AM' ~CnE7 MAr10ARET 1/1:1/nl 3/:r0/E! 57. 10 1116 D6L [116 PWr DUNION TX 76201 DIN ION TX 71,701 MOvod; loft no address, 2204 214137 PHILL1Pgg CANDY PHILLIPS MUnRY R 0310100 3/10/81 31,.1 MARfiIIALL If!V MARSHALL 247. 00 1. 13AN60t TX 76866 L+',4NW.11 TX 76266 No responsn to colloctfon efforts,, 201 224179 PHILLIPq DONALD P1J~'LL1 8 D014ALO V/P4/IlU 5^S i/2 $ S ELM 5 :ri 1/ ELM 3/30/01 47, 90 OF.NTON TX 76201 U NTON~ TX 76201 Movodi loft no address, 901 2$703 Djf'RAVtt 0 bal-HAT r'J HC DULSNRT 1/I6/Ui 3/30/01 36.00 U NTOINJ TX 76201 h.NTONE O TX 76201 Movodi loft no address, 202 16770 PR4EpA>< I CURTid PRUll II CURT18 R. 4/17/00 0/30/01 731.79 Pll 4hW15VILL6 TX 7501;'/ LEWI VILE TX 70067 Moved; loft no addross, tOl 13871 ~VJ ROZ r LYDIA 0 IROZ ~9~1 ATLAS aa}I~ ATLAS CARLOS 1/10/00 1/21/80 3/30181 00,00 dENTON • TX UENJON T% 76201 No rosponse to colloctlon efforts. 204 203137 kAri. $ SHANE RAM 0 WILLIE %/~?G/UO h 1 4011 Jtl11N8tlN 110? J011Nta0N x/2%/01 43.. 5 DF,NIUN TX '16'201 DGNY014 TX 76x01 201 24970 q N Novell loft no addross, 5 B~ MAIN ST EVGR6T7 R tl • 011U MAIN EVERLTT f?/:1/130 3/27/01 150.30 ~j L 14114VIL1.9 TX 75067 L WISVII.LE TX 75067 Pot Chocks 201 23$40 ppgUM e OA A RRRVES nUNDOROVS HA NLOnEtNCE II/Ou/UO 3/2^^7/01 K4,50 i RT IrtlUNgOgOVB R000 AI L6W)SV1LLli IX 75047 LEWISRV LLEL T% 7$067 Moved; loft no address, 102 1576 A'r0I0gX 637-0 TONYA ONOk8X 6070 VERN 7/10/110 7/1$/$0 3/27/81 e01 20 AA ER TX 76266 AN ER TX 76246 a" x 103 1576 ON` p , T011Yp OND Balance after insurance, O1,pp I D r VHg1J tt Nt1BRtl% 657.0 1 6RX 657-0 12/27/60 1/15/01 3127/81 109y00 , T% 76266 6 N06R TX 76264 + Balance 21421 insurance, 11 w,......~.w .....A........awwu.r..n,«r.r.rw+rr.........«....,,.._...... e..r..... .........»..........,».,.......,~..........~...a,....... . .1 j o i I r . r .i. ,.f! iv I i ~.k . v , 1. a 1, 1: 11 V R 1 , 11 Il v J' 1 I ,1 L , r11, 1> 111 DAD DLAIT TRANRI'CR III PORT FOR IJ£RIOD 3/01/Rl THRV 000/91 PATIENT NUMOCR 44111900! PATIENT NAME AIVI0 eno nal'lnix4 O!IAPAHTOR NAIE ,14044444 VAT7 II1A1: DATE OF BALANCE 19 F'I X WOM01,11 N.V•II:. AODI1, CITY, U r. Ili' N11M1., ADDR, C 1 1 Y, 'W , i11' AWIII I 1 GU U10411AltOEU Will 1COVI' ON 'ACCOVNt . . . rr.« •....r. ry« r.y r.r r. r _r w Mrrr 1 111709 111 Vi , Jfl:il. IfAliKl17`~ , noDEUr •l/)0/UU 3/27/91 4o4. 75, , 11io t;00111 LOCUlil' V N(I111 I'1 'U 11:C011MICK DI N14114 IX 76:01 0I:14I(IN TX '16"«!01 Hevadl loft no address. - 707 1414'0 fil'YNI1.U!1 JANFIT R1 YWUL U5 JANET 1/:10/00 310101 01,12.bO 10101• NI :CD 101111 HEI=D ' 111 (41 ON Tx '/6i!01 IN. 1410111 IX 7b@0I No response to collection efforts. 24.1,'9 10$ 7D242 RLi YNOLU:i NONMA JAW R.'YN01 DA JAI-14:13 10/01/00 12/31100 3/1?7/91 IJ I A CORDOVA 111(I CL➢1DCIVA UFNIUN I'% 761:01 DLKILIN Tx 1/61101 Hovedl loft no address, u ;?0:l 10130 RICHINUD1,i01J K(i131iNA 111CHANDW?14 B1EVE 12/21)/90 3/27/01 .1124. dpi t1L!11 W HICKORY 42h VItll W HICKORY 0220 UGNTON TX 76201 UINIDN T% 76:201 No response to collection efforts 1 215411 RICKLIT AAYNELL R1CKE,RT GAYNELL 1/0'0/91 3/27/91 1,16.00, RT ) r) 133 R1' 3 flux 333 CA INraVILLE TX 76240 OAINC6VILL4 T% 76740 Balance after insurance, LARRY 7/16/00 3127/91 qp, 40. 204 12512 RItCy 1 LAkAY R1LfiY , 50*1 i DENTON NARQ 6T TX 76201 D507 ENTpNRNARD 6T TX 7621 No response to collection efforts, Vol 19921 RII.HY 9TACY RIL V.y LOVIE 7/00/00 3/27/91 ..100150 030 MADDOX D30 MADDOX 1%14tON TX 76201 DENTON 7X 762^.01 No response to Collation efforts, 202 13261 l~ TCHfiyy . ELIZADETH RITCHC•Y ELIZABETH 10/12/60 3/27/91 116,.60 Is 5 G141TH M3 019 5 ITH 03 DEMON TX 76201 DRNTIIJ T% 76201 NO response to collection efforts. 701 2662"5 "HUR OONDI RRY 0~4PATTY 2/21 /01 3/27/01 .42, 24 aIITUN T% 76201 Hovedl loft no address. )p1' 00 i i0l 24:203 DINGON , FAANKIE R B NM y DO14 9/:1/90 3/27/81 d2, VALl1,kY0VIFW TX 76272 ULLVIVIVIEW TX 72672 No response to collection efforts, I gg 1 202 P0446 uD4E13 TONY Hf0l0p1Ep% 63 LARRY' 4+/Q4190 0/27/61, 02. ep AUDUSYnx 279 A TX 76227 Aull1CY TX 7629V Insurance paid directly to patient, 201 P6397 D UUR IOUEZ MARY ROppRIOIV OWN 2/06/01 3/77/01 ,.76.00 i! 4 A RRAMB 414 FRAMY kf U NEON TX 76201 DENTON YX 7620~•HOVOdl left no address. b. 201 1'~007 MbCin IOILalNO ' JO b~GNO ;~~~A~0Rr1N 15A0µ15 7411$ Balance after insurance. 4/27/01 121r, as r f ] r 2 , NIM...svTM„r....a....,... ..........i~...a.....r.+_,s.u._w.........ui~,r..~wr~..+_...ww.w.....n,...wV'.r..+..~.e._.was.wr..s..rr...r.Mn._.wv..w.u... ~ . s 'it e I r . r t .i . 1 1p.{J y. 1' A?I GAZE 3/01/131 10:31; F L O W 14 > M p R I A L If G B P 1 1 A L PACE 19 BAD DEBT TRANVER RCPOnT FOn PERIOD 3/01/01 THHU 3/30/31 PATIENT %.UFA rua>>rrre PAYtCNT NAME raraxrwnr rr+rr.+r► OUARANTOR NAME rrun'rr~r DATr DATE DATE Or BALANCE PFX NUMU_ER_ NAI1E', Aq1), CITY, BY, ZIP NAME, ADDR, CITY, ST, ZIP ADMIrTUD DIBCHAHO>:D WRITEOFF CVACCOUNT orb r., r rrwrwwrwrr wr..rwrrrwwr..yu r+,•y ryrnw.rrrrr wrr•rr r 7799 ROSE, MIRE ROSE MIKC R/OD/79 3/07/81 6:3.25 201 712 MALONE 71: MALONr DGNION TX 76201 DCNTON T% 76201 NO rOSpOnS@ to collection efforts) 101 10966 nId Ti I D.SURAN (10TH JUAN :3/tG/40 .I/Il/00 3/27/41 II~.On Ije I TrABLEY I•/z:I ICAOL.E.Y 11207 D NtOON, TX 76201 DI!N ON T'X 76x01 Balanco after insur4nc0, 1102 4240 0f243 ~tl ELM GAIL AAl.AIJ OAIL tl/E6/8O 3/27/©1 40 nn '1S R ELM pons DNTUN TX 76201 liNT IJ TX 7620E No response to collection efforts, 201' 20090 $AI A MICHAEL 8111. AS 1ZCIIAEL 7/16/00 3/27/01 40. 8S I1>NNNT9❑N TRAlt,ER ESTATES D0O DINTnN TRAILER CEITATIis DOX E UIiNTgN TX 76201 OENTON TX 76201 MOVOd1 loft no address, 202 9380 SAMPQRD ZACHARY SANFORD LACRESHA 5/11/130 3/27/61 hh.SO 4011 , 4NDEn H2 4U9 P+)NDER 1112 DENIUN TX 76201 DCNTUN TX 76201 No response to collection efforts. 201 21096 S,A~MM*L NE RONNIE PA11PLFD NE RONNIE 4/16/80 4127/61 40. 0o .35n 72D 14 AAiIgMuAV CK 0 ARIIMLNIV OK OMOVCd1 loft 00 address, i E 201 19744 ~gIIDL'riS , BETTY IiAN0010 , BETTY 7/06/140 air^•%/81 61)35-, !I 3TELLA H9 nn^SCI IiTELLA 119 U~:61TUN TX 762201 DIINTON T% 76201 No response to collection efforts, 201 tf1770 SANPOND , WALTER BANFOf1U , GARLAND 6/07/DU 3/27/81 91, DO MUM DUk 70 YX 0 pp {1i1 tiffX %U 1ehV 7k olio response to collection efforts, 203 11472 PAULO , P1100Y fAULS , PCOCY 700/110 3/2%/tll ~7.181. 171.CAC11.'6 PEACH 1 Dr.14 TON TX 76201 gGNTUNq TX 76,10IN0 VOSpOASO to c0110CODA effOrtS- + 1 201 19202 RCHAANDT WILLIAM SYHIAUUx 94 , WILLIAM 6/i!1/80 3/97/81 ".97, as T I AOX 94 7AUB 14M 07571 TA08 NM 8%071 Movad{ left no addrossl a a"01. 19447 du pNS 13C ' OTIS CCUaa01148 , OT1S 6/87/40 3/~7/T11 Y U BOk 13C NIBHVILLE AR 71002 NABHVILLN AN 71892 No response to collection efforts, 202 7255 CE T`Y ADAM WA8Hj,.%0N PATRICE 6/20/80 3/97/81 31 h~I,ILION N ' RAIRIE +s~~N TTtlIJ TX 76201 B~C~IJTUN TX 76201 NO response to collection efforts, 'y 20t 4309(1 aOE 8RIPPIN , BOIJTX 75006 HROCOL4IJYIN BtlTXY 70056 MoYe1d1/left no address, 3/27/81 93.60 i. 1 +wI\4r, rrw rv•~Y~t•I,r+..Jr~...r rJrr„~I.M ..•r uu r~.W.r, Vr.r ..J r. •w•.. r1.,.w..~,i~r.w,rJ..,w1,.w,r. J,.rn•w.. .r iwi r.••••,• _r u •u. r.-r+• + 1 f t E f,u+, 1 ' ~v rill e . x , +M,y, t ,A + - iT L •1 J.j .A., DA1 6 3/31/01 30 :12 + h L I) W hI li hl O It I A I . H o G P I T A L PACE 2U (IAG Ot:Dr TRANUF-LR FR;I)OFIT 1'OR I)l-.RIOD 3/01/111 1`111M 3/;10101 pAf(S:P17 tlUr'll!! ' It rnla+rvla I'ATIENI" NAME luinrraaw anouuauu (111,11IANI(Ill WNAFII:`narrunlu AOAIIr _r1}AT1: r DAIh uOF ^yIIALANCYM I)M I ]-ED USGCIIAIIOEU WI11 ( LUI'I° 01' ACL,uONT PF% NIIHUI".(1 NAhil I AODIl, CIIY, 6T1 211' NA11T:, ADUIII CIIYr bll 2311 I!, ?UI 6 :il.l l lllii 1 II(INA1.1$ 'lU1?{AhOREI:141JAY ' RolIAL1) IU/IU/00 /01 61.50 '10v1A CRL(I"NIIAY TX '11,,20ilload} left no addl'OSs1 Ill NION 1'% '!6201 UI:NIU14 L'01 1:F210 !;CvI111 JACKIR IIFVIIII CIll':RYL 1/00 J/27/0l 22. SO 1) O tiOY I:3I! ftt!hY MONTANA No response to collection effortS. LAP.F UALI,,AO TX 750115 Li. PA3U TK 7(1.15 2G1 ..^..1306 rCYAU1 AUDVL oh%VADI AnUULRAHMA 10/Pb/00 9/97/83 24,00 6U 1 AUI.k 1312 HAM (,O:I I AGILE OR 1116 TX 761,'01 NO 1'esponSe t0 Collection OffOrtS. 1 < 1,0N! ON TX 7620$ V1.I4 1LG4 20t 1893'2 (iENION U)NNA SHAHAN $ 6/17/80 3/27/61 42..60 ~N 601 ,r.ACLR DRIVE ;120 R'f 4 AOX 204 1 SWOIAN T% 76201 Ir ON TX 76201 No response to Collection efforts. 203 2!3110 SIIMRIAXI OHOLAM 810143 AZI OHOLAM 1/03/91 3/27/01 201; 26, 1901 1C: 14ARDS 019 im F.DWARDS 019 UC:NT17tJ TX 76010 riliIJ1WJ TX 76201 NO re9pOnSe t0 CO11eCti0n BffOrtS1 203 322671 6HI1NNON RHONDA VAR AHONDA 10/06/80 3/27/0! 40.30 RUUTE VAR nOUTE Sven R OK 74963 WATUUN OK 74963 No response to collection efforts- 701 19330 4HAfJJJON RICHEY HANW(1 N RICKEY 6/1:4/80 3/27/61 06,80 936 loop %36 IUOF No response to collection efforts, UNTOW TX 76201 0EN70W TX 76201 I n 201 20307 S}IAWNLON 1 SHARON RpPI'JON ' MAROAR6T InSVenU89enied. 8/27/6! 39, fZS U1 b(A NDONDERRY 0 TX 7b201 05N TO3044 N TX 76901 Ii N qIJ 201 25003 HHAR p 1 DEITY SHARP 1 DEITY lit/24/80 3/127/81 46:60 .184 BELL AVE 1::!'l UELt, OK 79999 Movedl left no address. ~VLBA OK 99999 TULSA 201 14161 VLRA EDGAR SHAVF:I 1 EDGAR 6/19/00 0/317/01 97100 HAVER .'3 1!lMUDOIt 09 5 a'1 w VIDSOR 09 W41 TX %6201 MOVOd1 loft no 1221833+ att T% 7622201 VeINTUIJ 101 3A002 ' RD 8YD X gH !>ANp , SYD1L SUE 1/.12/80 1/229/00 3/17/01 60(00`1 bda ~ILIVL R 509 N04 IVER N TX 76'201 MINTON YX 76210 1 NO re ponse to collection efforts, r IDq !03 155822 tiHF.PHARD , C}IARLEY 61JPipG}IApREkB CHARLEY 0/00/60 3/17/00 3/27/61 ti1~41 NI yc%u CHAMDERB GGqqt p(CIJTON TX 76VOI DGNTON TX 76301 No response to collectlon efforts! r 201 37636 tHtjIIPARp 1 CLAUDE H~H ARRY , CLAUDIA 5/07/00 40,1'5 DGt AKHY TX 76203 ~IJ1 NK TX 767101 NO response to Collection WOrt9, NION Yr~YwY..M ~I.MM .1111 + ~u.rw•Y.r~n.1.,...~A~,r.Y1...i .1Y rY,.~1.r ~Y., r..11 Ii. rrM.. ~.wr M\... rY..ri .,1-Jaw INIw;1.Y.•rfY.1. Yom... .r... u1.111t1 r. IY Y....•,Y wY..Y 1wM l.~.w1Y ^.1 i 1 I I~'N.yy~IWM+1++w.~.n.w...rr . -~.~...~.-..w.Y.r..awnanMUn~..-r~res.I+.r•.r•r...n111r~11.r1~.rwur..rYl.v.wn.~~r. w....+iw.....srY- .-~.w-.....w.....wu.n..1.-~...n......~... 1 1 71 HDBP I TAL PACE 21 DATE 3131/81 10 32, F L O W M E M O R I A L ' UAn 090T TRAN9FCR NEPORT FOR PERIOD 3/01/OI 711nU 3/20113L BALANCE ' #rrartla* DATG I~ATK I?ArU pi' PATIENT NUMn R GN r AUIIITTLU pSBI.HAROP.D WftITEOr;F OF -ACCOUNT I r an atlprnn PAYfGNT NAMG ar~arrarr rx►~rt!la OrJARAN70ft NAME w . PF% NUMHI NAI'.f. ApOR..CITY, ST, ZIP NAM[i. ADDR• CITY. ~T. Z11' gHIJ)PANO CLAUDIA 1107180 Imlm 02A50 P02 17636 t~{HVI'VARD CLAUUfi HI', I.AK•Y TX 76205 019 LAKEY DENION TX 76201 pENTUN NO ~.pfROn.L~)t0 collection affonyyi//91 6x,69,. . JANIP. IDA TnEVIND r JANIE 201 168:2 1(553ydUA TpQ11g~NjVNN1ND 903 OMNY K OL901 TX 70240 Moiod; loft no address. 8AI13AN?ON10K N1901 Tx 70240 AN ANTONIO 3/27/01 006, B i1M11 20 1 22143 R 1MM1i BANAH BANAH 9/ 19/00 R~ 1 !)OX 747 TX 76266 No response to collection efforts. 7 1 n0% 7x7 TX 76x66 SAN4L.3 p2. 90 8r1NirGR r ffARNEBT IS/01/no J/27/0I 201 bARNEBT RIME 6111 1.t1NDDIJDP:ItNY NO101 23781 1TX 16ROI No response to Collection efforts. (1BI.ONOONpt RRV Nl~ IOl UNiC)N T% 76201 D8141L14 SS/li!/80 3/27/51 1:) 40 ERIdEBT l t~ ERNEHT S111(3 it, 2201 20895 QpI11SLCINDONDF,RY 101 bin LOND Jf4vvRY 101 TX %6x01 No loclyr4t l+ ro~~rr~I n f(10 - Ji NTON TX 762201 Df:IVTU'J 3127/B1 1.90. 06 INl1t`hTON ~ DIANE 11/Ol/ts0 fjRY APT 11214 Moved{ left no address. 201 23477 g 4 t 1.ON DIANE 816 , 3 b PNY APT 9214 TX 762201 DEN 104 7% 76201 34 y~ NTUN 2109/00 .3/27/81 I• pp 9K1PW3RTH 6RTH 201 SAbOA tnrrWg 7~ LLAOt{ kQRTHANI~ hIN LOT IO7 VILLAOC NTXNP 70067 Moved-, loft 110 addY¢SS. LUWIOV LL. T% 79067 Li;. LJI iVILLE i 2 A~ i CABBIE 9/1123/00 3/27/81 g ) CARRIE AIPWUIITH 202 16370 3K3 aWO~1kjaHTON 3^3 PRIOHTON 7X 76601 NO rOSpOn50 to c011¢dtltn offorti. DG 111 ON TX 76201 U1,41 ON t 3/R%/Ul t¢. 00 Glf110 'WnR961 RICHARD 9/04/00 )/06/130 102 ^.0645 KyPWC1gTJI gHARON T% 767.'•6 No response to collection efforts. f f1 OUX 961 TX 76266 gANOER t',3A. LO' gA1J0Ek r CLYOB CLYDE 7/Oi'./t1tl 3/17/01 I l 201 21592 8M TH 8ss 00 jNANHLLB Tx 70000 Moved-. 4aft4no,jaddross. ~ SOQ6 DANULLR TX 0 AU KT IPJ 3/27/81 A4 n0 ~ { t~ AUgt]N MV DBNNl9 eMITH HENRY No H/ rasp nse/b0to collection efforts. 202 19704 T U ANg ``q08 TULAN Tk 76240 NGBV~LLE 7X 76240 OASNGOVILL EDDIE It/15/80 3/27/81 90 8051E SM CH 201 23999 MIRTHnONN1E DRAG 8pC HONNIB DRAB 129 TX 76201 Movedj left no address. yp 1q 24 Tx 76201 OBNTUN bb. 00 pRNTON JU4MY 4/09/80 3/27/81 fT 201 21681 J1 M11V HpOgg{AIiN I gM~13 ragLAWN TX 76201 NO response t0 CO11aCti0n efforts. NYC) TX 76201 E.NTO E i ' I r i i . i i u,, J,.$I/ill Iv I. U W U I'I U 1i I i. U u P I T A L I; MACS: 2,! DAD DEDT TRANSFER REIIORT FOR PERIOD 3/01/01 THRV 3130/81 PATIENT WOMDER 04404004, PATENT NAMC rryairntll gd4n nra OtIARMORR NAMC ruarc+ta♦ PATI? DATE DATE OF DAl, ANCgg PCX NUHHkn NA I'e AUOft, CTY, ST, ZIP HAMS, AMM (IIY, S1, LI AIM IIY CHAR It DID O£p HRl'fGgFF OF ACGgUNT I 13707 1dM11?I KAMLMINE 311T III KATHERINL 1/14/00 3127181 21 50 )Olt, RLF_D 8T. 101L M."ED r1T. , I)CI.fUN TX 76201 DENIM TX 76POI NO response to cOUCCOen efforts. 202 6122 SM1114 SHANNON 9111TH TERRY 8/24/00 3/2,F/81 76. PR 30X 161 5ANGUR TX 76266 SANCEk TX 76266 No response to Collection offorts, 2014 24291 SMIIH SHERRY 5MI"I SHERRY II/291t70 3/27/81 55.60 19 N LOCUST n3 '119 N LOCUST 113 bL" 1 (164 TX 76?.01 bliwi N TX 7A201 MoYedi left no address, 201 21788 9MITH VICKI CHAFFJN POLLY 9/01/00 3/27/61 bS.00 110 nCRMARD 948 R.RNARD D414YON TX 76201 DN1 Oh YX 76701 NO response to collection efforts. 1302 ,^.1780 6141TH VICKI SM11H VICKI 1/17/81 3/27/81 37. SO +IU HERN Rn r ! ~ 910 DIRNARD I UENTUN TX 76..;101 bF.NluH TX 76201 NO response to CO)1eCtion efforts. 203 18472 INKED SHARON SNEED SHARON 7/10/80 3/27/81 34.75 i F) IA THOMAS 08 313 1H011AS 0 ENTON TX 76QOI DENT ON YX 76201 Movudl left no address, ' 201 241049 SOLANO TONY SOLANO TONY 10/it/00 3/#7/81 57.25 1019 HASSWOOO 1pID IIASSWOOn MANOR i.£W SVILLG TX 75)67 t.fWI VLL(.E TX MOYBd; left no address, Er 161 16058 SO(MCLI_ CHAR(.OTTU SORRCI.t. VERNON 9/13/00 5/15/80 3/27/81 63.00 4tj IFUM,HCR 411 FHASHER 0! 141MVILLE TX 76240 OAINL;VILLE Tx 76240 No response to o011CCt10n efforts, 201 17037 r(lU1H VALERIE SCpf:0INE VIMA D/12/OO 3/Mel $8.29 9011 NORTH 0TH STRE£'r 908 NORTH 0TH STREET SAN115R TX 76266 8AILMk TX 76266 Movedl loft no address. '2'01 17408 S(pWELL VICKY ipg,awu.L RIC)IARO 4/30/{!0 3/27/91 14.40 R ANOKL TX 7D26:. RLOANO 4 TX 76262 NO response to coilortion efforts, I 201 18799 jt1PLAWN DELMAN HPLAW1 beLMAN 6/00/00 3/27/81 05,20 I 1'910 IAMCO V50 JAMES UKUrUN YX 76'.!01 Pi IT NI'GN TX 76201 MOVed1 left no Address, 201 212299 4lPggppryryppC`S H R0; HOWARD 8P0 TB H Rgg 1NEZ 3/27/91 81190 LBUYI14L Wn~D YX 75067 LaWIOVIi.LFIJOOb TX 7006YNO response to Collection efforts. r, 201 13091 0P1U,DAnY KATHY ePnAIIARY h1.RREL 1/19/00 0/27/01 59.90 j 170h VSLLAOr EAST Mr02 00h VILLAQE EAST t120~ U4N10N TK •76805 UNION TX 76001MOVed; Taft no address, t I F ~ t { , y III - 1 I 'DA TG 3/31/61 10'32: FL0~W M6MOR I AL H 0 S P 1 T A L I~AOE ?3 DAD DftDT TRANSFNR REPORT VOR PERIOD 3/01/81 THRU 3/301131 PATIENT NUMDBR xaarna~x4 PAENT NAME xxaxKxxxx 40044xxx CUARA1;1TOR NAME 44x"xxxx AUPATE D D180FIAROED DATE Or DpDA4ANCC ACCOUNT , » PFX NUMOHR kAISE. AOGR CItTY. 971 ZIP NAME. ADDit. C fill ZIP «WRPEOFF r 202 9103 NPRAUERRY , CLARENCE 9PRADLRRY CLARENCE E 9/13/80 3/27/51 30.00 110,! AVE. D HOP AVE, tl DHN rON TX 76201 MWOIt TX %6^wbHo response to collection efforts. j 20,1 19746 ~PrtAY~OO~Y I , AMANDA pPpA170'NRNARD + VICKIE 6/07/00 3/30/01 49, 20 O($ LAWN TX 76201 DLNTUI~ TX 76301 Movedl left no address. 201 20900 AIINppppgg , THELMA 1T,ANiNES 07 + EDWARD 9/10/00 ,3/00/91 29,22 DDE14TONQX 97 TX 76201 HAUCARY TX 76227No response to c011ection efforts. 201 17439 STARR AN04A ~~IlTARA CINDY 11/30/00 3/30/8! 40.35 0011 RAI. OV41VCRY NUCRAL DELIVGRY I,AkFF.rfIlDALLAS TX 75065 LAKE DALLAS: yy TX 7506TiN0 rosponse to collection Offorts, 201 17071 DM1Vk3 RAILER PARK NT~LY S16AR 77RAILL'R PARK 1118L„NOA 8/04/00 3/30/81 34.90 j LAKE. DALLAS 1 TX 79065 t.AK,. I)ALLA6 TX 7006!)N0 rosponso to Ce11DW On efforts. '201 17909TOtAIt67 TAMMY kRt BETTY 8/!4/RO 3/30/81 34,00 0 80 ~ArUIIRCY TX 76227 AUBREY TX 76e727N0 response to collection efforts, g JUDY 6/12/80 6/19/90 3/30/01 30,00 I 1C, 18942 NTT> V i.NDS , JUDY p~%Vb9S JUSTIN TX 76247 JUSTIN TX 76247110 response to Collection efforts. KIZ [2/14/130 3/30/85 64.75 201 24772 jT VCOxtl0 3 EuOIITUN 8 TX 76201 Moved; left no address, l 48, 50 201 16004 51JhlA.OCUST CATHY 515 LOCUST CATH1' ^ 3/17/90 3/30/0! OENTON TX 76201 DENTON TX 71,201MOYad, loft no address. 5/09/90 3/30/91 47.80 201 21963 Q1,Gti(ART OR10 . 91900 TX 76301 Moved, left no address. 226 7431 TE14ART MARALYN R1EWART , JAMES 12/19/00 3/30/91 137,05 l KRV14 q8% 28 TX 76249 KRUM DOX 29 TX 76249HO rosp0058 to e011e0tion Jfforts. 201 16374 BJOTKIl L BILLtG ATaSCS BARRETT 3/30/00 3/30/01 83.00 N R I AT PT8 COE1 NORRTH Arre APT9 200 0 1NU6V1 L TX 76240 GAINEWVILL9 TX 76240No response to collection efforts, 202 4011 gjOKEB i PAMELA T KgS . CHARLES 13/17/00 3/30/81 12,50 A N. DELL AV9. 871 N DULL AVE k D NTON TX 76201 DENION TX 76201NO rosponso to collection efforts, t ' h ;r i r 7 F R L U 1 4 - . Pl F M U R I n L k U 8 P 17 A L RAD DEDT TRANFr@R RCP PAGE 214 PATIENT NumDrR ar+"~aewa ORT FOR P,;Riop 3/OS/01 7kRV ! Ph,X - NAftl P ADDR,A7YT SI',' C ZIPpaa#iru awagrnaa CIARA CI NTOR NAME ♦rat~ua~ 3/30/55 NAMC» ADUR, CITY, ST, " " ' ZIP PATE ?Oi 20353 1i Xjz _ _ _ ARMITTE0 DIS DALANCG CIAROCI) DATE O~ or ACCOUNT 110x dl CLYb@. 51'C.Ur'F O•- ......__w a0 Nr F1UAIrl.GY flax .dS , CLYI)F. 7/26/HO I 2210G k1aNl:CDDIPHER Tx 79237 HEADLEY 3/30/R1 00 7nrntY Tx 79237 NO response to Collection efforts, 6g 22 6 I AU RA LANE 574NFCIPHFR UtNIUr` TX 76CO 601 AUDRA LANE WANpA 4/iR/00 102 I1174 RTOur S Dl:NTCrJ 7x 76201 NO response to Collection effort$. 39.0' 1pE31ra)4 oN MOZINOO POMP fiTOU7 909 4tR07L TX 76001 ACISE S/06/00 D/12/50 r'O1 1'1036 9T(JUT VLNTON TX 3/30/01 a0 00 P.b 76201 No response to collection eff >I~NIOVATTIMpkE RICKY STOUT RICKY 3/12/ti0 Ort54 3 17023 aTfldE T TX X 7bad1 DCNTON 3/30/Ot JOSHUA TX ' 76801 N0 once 107 76 UEN10hEXlCUTIVF. Mk 76tiw0 t RIG 4 /reS6/5p0 tlLL JI ON OS MELIVSSA nc to Collection efforts. ql0 S JOKEY L 26b 17337 STPANOC . F'RANOIIS `3/`30/81 20$ • 77. 50 DCI~IONOUtaE T 19006 Arrangoment not k 029 S71:AW0: OOD 01't. Tx 76..^01 a~gP' LTUISE 1121 ELW 0/l2/d0 LID1 2i2<9 PTRINCYF:LLSIW Dt:f~TO)J 3/00/81 r Rl TX 7ba01 NO rosponsa to co118ctlon effort! 210. 25 t7 t, Pq 110 76tH, H~G'N2 DLNIgN X 76POI o/HO/00 201. 17937 RIItOl70 0~ SI 60. 50 ! 100 S CAkkdLL FRANCES aT aNR Arragquonts not kept, 0111,110N TX 76801 30,? TRER' INR rRANCEB 6r30/00 201 24723 TTR116f,OX 46 DALAN TX 79224 Moved; loft no address, 3/30/01 ti4. 40 R TI- C 7Rl1DEL KRUM T I, OX 46 UWAYNL+, 121SQ1p0 201 16377 TX 76249 Ell 0/30/01 !41'U1ippEVANT' 7X 76247 No rosponse to collection efforts, 36 00 610 ECTOR RURERT 0 URUgRANT 3/30/81 VUN'tON TX 16201 ~~U C TOR RORERT 3/30/tlo 201 - 19474 9u pN TX 76.2pi no response to C011eCtien efforts, 79 90 1'I4 RfD OAK LN. , R}. ,YOH?4 C EU TT'pry Liti1JISVILLfi IJ4 RCp OqK LN,,RT. 1OHN C 6/x7/00 3/30/81 11290 W, TX 79067 LEWI£3VILL& MAN rts 14.00 Rw1EAPLUM ROY qN rX' 79047 NO response to collection OffOrt9. ONAHIL TX 76046 tATMUM ROY N OI rr 111 7/4"U/130 0/00/01 38.70 92074 ~q fCdTT ?RANOWYA' At tRrr TX 76046 No response 4101 to C071400011 efforts, ~ TX 76201 AENUMCGTT DOROTHY 9/16/00 DEN ON uY TX 76971 NO response to collection efforts,/Ol 16. 00 ♦ y t 1 , \sww...w...w..ns.._.r ._.._.....n._._.......r.-...v..._w..-...v_wwhMw.wt..i.r.w _rwwwwp,wsf+.M,+'wwl..wwr.w.w v+wyN,ww.~....+.-._~ i ' I i l,1V11 R„ , Lim lt J/JI/bl {V JIC. L V W 1'I C. I'I U 11 l M 4 11 V it 1' A I M L. DAD OUT TRANSVER RGFWA t POn PERIOD 3/01/01 THRU ,1/00/01 PATIENT NUMPF'R arasnnrar PATIENT NAMG *****rnea nrrna+aa OUARANTOR NAME r4rr+r0* AUQ, T11Fp D18CH,T11ltlED DATELOOF DPUAACCOVIJT PF'X NUMlltn NANR, ADO C«TYY~HT,_ZIP~-NAME, AO--------- ZILL .r- ' 99. 79 201 1172!3 TA!.~L X `J3 DWAYNE P~LIERO% 93 DWAYNE 6l06/80 3/30/01 i ANOMO~IL OR 73401 AR~MORK OK 73401 Moved{ left no address, 7114 woo/tl0 3/10/01 40. 2D 201 ^41991 TgA114L pp.N l TIM TAI4PLGIJ RT 4 RQX AS BiLVGRDQMI_ M1IP Al 4 UOX 41 9ILVGROOMGTYHP D&NTON 7% 76201 D NfUN 76201 MOVod; loft no address, ' 201 23444 APIA JILOOUNIO TAPIA JIL0001410 10/:10/UU 3/30/01 24,20 1 ^q OAKLAND AKLAND TX 76201 H144'914 TX 76201 Arrangements not kept, ~'NTtlN l2. 'JO 202 72141 TOM K114BERLY OATUM r KU IIII II/19/UQ 3/'JO/8I I, V 30D IIGATHER LANE Q3~(1 HEATHER LANE TX 76201 Dlih1101J 71 76201 NO respOnSO t0 C011OCtiOn effOrtS, ENION JA11LB N 7/.'9/00 3130101 77.50 203 20373 TAgI pf1 RUTH Tt109DlINOKEN ARROW ?10~ 13RUKGN ARRQIJ TX 76201 i,EN7rn4 TX 76ROI. NO response to COllootion efforts. vE111'f1N 3/30/01 98. 99 2101 22604 r YLpR TAOITHA HF'R £iHIRLEY l0/04/3D $¢0N1 U IJ CONGRESS TX 76201 2U F OGNTQW CpNORE96 TX 76701 No rosponse to Collection efforts. 11~•; y JERRY 4/1:+/IJO 3/30/Flt 99.00 4201 1Gg4il 7t'NA JHRGMY P"'11 847 EVULI: X1~8 047 YX 76039 EuLr.SB TX 76039 Insurance denied, 3/30/01 33. 90 201 22673 THOMPSON RU59ELL PNOMPGUN RUpSGLI In/U6/017 q' pr f PILOT POINT YX 76208 P11.0T POINT TX 7629D Hovodl left no adds ASS, THQNGI;IIIANH PHONE O/R9/00 11/30/81 32. DO ~..+r 241 21A79 90pt OPH)NH VANIBtlNE 819 1 RYL / N1R71H LOOP QOI~ TX 76101 F 2T. WURTH TX 76111 Movedl loft no address, DRN t GNTQN 3/30/at 45. 75 { DWELL gg g T{{ 1• I D111JNIE 0/%'8/10 5201 fOA00 R N4 LbT :21 SHERWb IR5N 76R"Oy gIFNWONQT 21 BHF.RWOOD MTx 76201 Moved; loft no address, ' U tlG 7 UODSIY 3/6'1/80 3/:]0/131 41.00 ; 201 13963 41GERT 1 pODDV PT POX 139D OfECA Max nIIO% 1300 'fX 76234 DECATUR TX 76234 No response t0 Collection efforts, ; I 1 4171 T LLMAN / MALIDE T 1 LIIAN 1 ENIJf!3r O/30/'/q 3/I30/6t 57,87 HICKORY d1 u HICKORY TA 76201 O NTGN T% 76205 No response to collection efforts, ' JOYCE '}fMMONg 1 RpSIE 9/09/OO 3/30/S1 299.90' a y 20947 ~MMOt~BHiCKORY 1421 1 1!32g0 TCASLI1 N701 INTON TX 76201 DEFITON TX 76-20 1 MoYedl left no address, i • .3 , j ~ i t , i ' J f ;I I .,a rl , 3/:1101 10: )'1~ F: L U W M F. PI U R I A 1. 1! O S 11 1 1 A I. PACE IV 6 (IA0 MALT 1RANI11'rl'? !11 PEI(Ir 1.00 PI'11101) 3/01/Ell NOW 'l/CIO/01 PAI II'NT NU1111TR ('ATIf.NT NAM(; 'auuuwnnup ,uenuun► O'WiANTUR NAM(! w«wwx~eu 1)A'IC UATE DATE OF PALANCE I,$A N111'f1411 N,-Iii AI)UH, CI IV, Cllr IIt' NAW, AD110, CIIY, !il, :IIu Alil•iIITtD 018016QED WNI%EUVI' 01° ACCOUNT i-'03 1'(1'14 i! 11NF4IIv1 T11111111v:1 r WK;IN 9/10100 :)/30/01 16.90 1W,`0 II AIA 0' 0''101 10:'11 1IWUiI"Y 11701 01 NIIIN IX %6.101 WNIt1N IX 71,1!01 Moved; lnft 110 dildr0ss. Vol 14397 71MMUP{!1 MICM&L IIMhICIN'i M1CilAEL ;!/0:!/D0 3/30/111 52. 50 Il:fil llit1VG(tG1TY II(i Y, UN IVCRBITY I1XG U N I oil I A 6:'U I W 14 1 ON 1 76,0101 Moyedi luftno addi'ftss, 801 iWO.1 IWill MAO 10 111111: MA010 1/1(1/01 3/110/U1 36.00 Iln 101)11E Ilv .11:11) I,OUItir. M.N1oN Tr 76801 Kill Oil TX 76201 Moved; loft no addross, 201 20019 1(II.It1:ItT DGflItA TOL0ror OARDARA 7/14/00 3/30/81 48,25 Id DI:!U.'itT 8AN08 MOtEL D !Vr IlT BANDS DI:NTGN TX 76201 DE•:NI01l TX 76001 Moved; left n0 address, 201' 23028 T110N11iE ~ LAURA 7001100 ROY 10/17/00 3/30/81 43.90 1 9011 1.0NDONDGRRY 0157 900 I.ONDONDEnRY 1tt57 DENTCN TX 76201 KNIUW TX 76201 No response to Collectlon efforts, 201 211/67 TYARUS 1 AnMONDO ORRf:9 ARIIONDO 9/13/80 3/30/81 68.26, FR ISCO TX 75034 FWCO YX 75034 Movedl left no address, 101 19665 TOUCIIRIUNE CHANCEY TOUCHSTONE ,'JOHN 7/03/80 7/04/80 3/30/81 199.90 P O POX 3016 P 0 DUX 3016 Of;HION TX 76201 DUNIU14 TX 76901 NO response to Collectlon efforts. 202 2812 TOWNRtEN TONY 8TT014%4Ep40 , TONY 11/11/t10 3/27/01 94.50 MN I UN YX 76201 DW TX 76201 Mmd; left no address. fYtl 5~ 11 ON EE 201 84046 1AACY gTERA141U 1'n/1 Y WILLIAM 12/17/00 3/30/01 47.70 nt4 LOr 21 EXECUTIVE MHP A LOT 81, EXEC,MHP DLNTON TX 762201 01WON TX 76801 Moved; left no address, 1101 16219 TRAMMELL . EZELL TNAMI'ULL , EZELL 3/^•4/80 3/30/81 63.90 ryryaX 540 Of1.C 5412 IILCIT POINT TX 76234 PILOT POINT YX 77777 NO response to collection efforts. 201 .".1269 1lp1AVtgg}; . DANNY q**qR1A1V ANNY 8/22/00 0/'30/81 75.90 J' llLLAg8 HORE9 017 TX 79060 LAKT~DALLASH0RE8 AE DA i~l$ YX 7606a No response to "collectlon efforts, 201 142911 TTITTT 8 1 LINDELL TAU ITT 09DORAH 1/30/80 3/30/91 33.20 htl6 1 A1NWR10HT g06 WAiNWR1010 U6NTt~N T% 76201 UNNTLIN YX 76ROI No response to collective efforts. lot 15919 N14 Ht1 DENNI80N , CRAW 'g1.gRgl% 6189 LAI4A 0/16/00 0117/80 3/30/91 6&1.00 pLNTON TX 76201 AUU110Y TX 76227 Moved; left no address, Ir l . , y.w(rryna..w .+r.arA`rs.urr r..r n...r..ww r,.... r~..r. un Mwbn. ..w uM..~a~.-.nn.M... ..,~.r~r~u.,r~w.Yia r.... u.. ..w a.. n rw... Nrr r. .n ww.. q....u uw r+.W~ I 1 ~ 1 j ,'~.~M.~, w..r-+..~.w.....-.e....,..«.-aawr w..~ wrnn+...-..r.r.n...,nrn.a+w.-.n~..+wre.•ww.nanw.r. ~ w~wMN.way,wW~~.~~aw.nwwWrl.~wwwasnwM..~r.w.w. r.~.....1 f I I RAD DEBT TRANSFER REPORT FOR PERIOD 3101181 THRU 3/30/91 PATIENT NUMpGR Hanna,,,, PAT1~'T NAMd ~r~aaaaaa aa+aaaaa GUARANTOR NAME aaaaaaaa U AIDERR NAME, UA1C DATA DATE Or DALANCff PFX N» »ADDRY C II_ .".ST, ZIP NAME, ADDR,»CIrY, t17_ ZIP.... »Y» ALt IITV) DISCHARGED WRITEOIF'f Or ACCOUNT 202, 19919 T FINER i CRAIG Tuu NGR CRAtG 3 9 CARROLL 319 CARROLI, 10/Ob/8tl 3/30/81 33.90 D WON TX 76801 I)rNTOI! TX 76201 Moved; loft no address. 202 9437 INN T011 TUItPIIIl, JR , roll :1/90/01 99.00 ~4 w) 00 I;ALLM(iA04W R3129U J490 IIUMISINOp1R0 7/01/79 DW47ON TX 76201 HOU6TON TX 77096 No response to collection efforts. 201 18696 7TWARppNH f i DEBRA TWARDOWBK DEBRA 6/09/00 3/30/81 t{YCAM0Rt aql £3YCAM~RE (,3 Lo DENT N TX 76201 DEWUN TX 7622201 Moved; loft no address, .204 11289 I.FR R WWgSLEY TYLER wE6LEY 9/00/80 0~ poSERCLtFP DaS1VE 409 DRSERCL1Fr DRSVC' 3/30/81 I6.00 ENTON TX 76201 gENTON TX ' .762201 No response to Collection efforts. 101 924;1 UDONOUAK , ROSA URONOUAK ROSA 2/29/00 3109190 3/30/,1 BOO W OAK 028 00 W OAK R28 39.00 6NTON TX 76201 1UN10N TX 76201 Balance after Insurance, 202 7797 ~JALLpJJnn EUGENIO VALLg D EUGENID 1l4 I.AOLd 43~ HGLE 3/e2/li0 3/30181 30.00 DBNION TX 76201 DUNTUN TX 76201 No response to Cefl action efforts. 201 2033P VAIJK5(Jp N DALE VANKEUREN DALE 7/24/00 DAVI TLR CT. «16 DAVIti TLR, CT. 016 :1/30/el 44. 30 LAKE DALLAS TX 75065 LAKFe RALLAS TX 79069 No response to collection offOrts, 201 19481 VAFOICR JOG VAftN1:R JDIi 5/31/RO 600 CHAMDERB 600 C11AMpERB J/ 0191 44.29 DBN10N TX 76201 DENTOON TX 76201 No response t0 collection efforts, 2022 10609 VERBINN r LISA ERDIN LUPE 311 H MCKINNEY Xs2 •ITH , 10/19/79 a/30/8L 32, OP MON TX 76201 9AN09 VA TX 76,1n66 No response to collection efforts, sot 19337 V 9fi 6U9 IIEDBVJ , JASON ``O~l s JN. FLOYD 2/210/00 ^./29/80 3/30/01 39. 32 V 3 L~WSSVILL b~! NEppDUD TX 79067 Lt?WISVILLE TX 79067 No response to collection efforts, V9HANORA yD9S 101 4016 6D!~5MITH'8T.M20 619 6MITH , GREGORY 12/11/79 3130/81 97,90 E OENTON TX 76201 DENT 4N pp pp TX 76201 No response to collectfon efforts, i • 901 49916 241% W.PRA1Rtlr VALHRIE SOUTT0 W. HLA6THC8TP' 3/14/80 3/30/81 60.00 DfiNON TX 76201 IRVINp , TX 77777 No reepoASe to 011ectfon efforts. 4 ! 2201 7033 ~9g R1/2 dBt1 0HBp1E WAO R , DEBBIE 7/16/79 3/30/81 52,90 D n R, TX 76201 $1DN/2 GKLL TX 76201 No response to C011ectfoA,efforts, r 1 i trn, ! 1. U I+ h! 6' r1 d R I A L H O S k~ RAI) DEBT TRANSFlTR REPORT FOR PERIOD w. tf PATIENT NUMOf•.R uaaraaraa PATIENT NAME' aarasanaa ,,,3,,,,yy 3/01/61 7HRU 3/30/0( Na tlI NFX NUf1BER NnISL„ Abnky V, &T, Zip NAME, ADUlt, CITY, N- AGTI RAZIPR NAM1 a~aaaMas __To__.., ADMITTED DATE DATE BALANCE U18CHAftOCD WR1TLrtl4~ OF ACCd~M7 'pOf 10312 IJAc1f'It , SAMMY LOIN W 2(YP'i I I bf?L,L 3/30/81 f DLMTUN HfAmi 1/2 DELL ' UCDDIC 5/26/00 TX 76201 DFIITO(4 TX 76201 NO response to C0110Ctlon efforts, 34. 25 1 13660 111NLF OAK ANNIE IJALtER ANNIE 1/31/00 h DE1+1 ON 1118 E OAK 3/30/01 75.00 701 37071 TX 76201 1) Ntm Tx 76$01 NO r05 onse WAI.KCR . RUBY WALKER r RUbY p to COiI@CC10R @ffOrtS. l 1 ! IJ PUL.LE1t 4/19/80 FINE OLVf.F AK 71601 DhNTONIit7C OAKS 3/,70/131 $4, 05 ~i 101 5593 WAIt.ACgg TX 76201 MoVBd1 left no address, ~ :3400 bR10HTOI1 ' DALWIN WALLACE bENTON 3400 BRIGHTON DALWIN 6/11/79 6/t5/79 3/30/61 7x 76201 bEN1uN YX 76201 No rosponse to collection efforts, fll. 42 201 10402 WALTL'RS JfiRRY WAL1018 rT LOT 403 ROYAL 703 CAST TEXAS OLCNN 3/20/60 Uf•,rlrurl Tx 76201 0/30/tll 32,50 702 18402 WALTERS JERRY nENTOIJ TX 76101 NO response to colleCtion efforts, E 6 DANIELS K,1 1 -t i GLEN 12/13/00 bNTON 70~ RANT TEXAS ST :3/00/81 97,75 Tx 762101 OENTdr1 TX 76801 No response to CollACtiOn effOrtS, 201 19289 WALIERB RODCRT 1019 R. CUMUERLAIJ~ WALTERS ROBAERT 6/0/00 DAi.LA3 1019 R CUMBERLAND 0/31)/A1 97.00 20'1 I495 ppnL1f'it8 Tx 77777 DALLAO Tx 77777 Movod; loft no addross, 1 ' pq nllx 1114 VIRGINIA WALICIRCt VIRO[N1A Ui?NTOX PO nf1X 1114 3/Oq/79 0/30/61 62.00 f 201 6707 WhLT014 TX 76ROI I&NI'UN TX 76201 NO rOSP0650 to C0110CO On efforts, 4101 kEDR10NB MICIfELLC WAL1011 4L101 R 4101 RC06TONC MICHELLE 7/00/79 3/30/81 99.75 x03 0597 WNI TX 76201 UfiNTON TX 7621 No responso to collectfon efforts, WARD FIt6T OAK N20 DOrb1LD WARD 1100 1J 1900 WEST OAK N, 3/2,5/00 7X 76.701 JIINrDIJ ~0 DtlIJALD 0/x0/81 60.00 :02 0706 10Wn1R B TX 76201 MOM; left no address, ERNARD ' GREVORY KHNNf;TH DCNTON W R RGRNARD 6/10/60 3/30/81 32,00 TX 76x01 tzN ON TX 76201 Moved; lets no address, k 201 17827 A i 121 bEAUCHAMA ' JAHUO WARD ALLA 127 PgAUCHAMP JAMES D/10(60 3/00/61 47,50 1 TX 78236 RALLAS TX 70216 NO reaPOr4 9 to OOIIOttlOn efforts, U~ p03 22691 ~idtl puNESDRtVC RORI?!iT 1JAI t ROD"' bINaN TX 76203~NdNuNSe DRIVE 10I07/6o 3/30/81 34.00 TX 76201 MOVedl left no address, i , DAD DrOT TRANSFER RC.P(,1T F4R PCRIOD 3/01/Ell THRU 3/:0/01 PATIENT NUMOCA er7YfraRa PATI`~NT NAME arrrRaR»p apaaRaar GUARANThR NAME, arrdarpr DATE PFX NUMDHR NAME, ADO-, CITY, ST, ZIP NAME, AOUR, CITY, 6T, ZlP aATI rATF. OF BALANCE _ AUMIIT'8D DISCHARGED WRITCOFr OF ACCOUNT 201 `UNT UuL 9 19539 WATEPS g r CYNTHIA WATER pp gg CYIJTHIA 6/:IC/OO 16EN(8V1LLE END TX 78067 LEWISV1LL8 ENO TX 78067 NO response to Collection effortsOJDI 69.20 201 19685 WATKINS , TAMATHA MALONE DEArJN 6/04/[10 1P..19 CLEVELAND tt!t9q CI.GVELAND 3/30/01 74.00 4eNTON TX 76205 DENTOrJ TX 76201 No rOSponse to collection efforts,' 201 16134 Vy~gT80N KIM WAT,OH DOYCG 3/12100 4A4 REDIrORb 9444 nEDF4Ra 3/30/01 64.10 OD89A TX 79760 ODE08A TX 79760 No response to Collection efforts, 201 21799 walla CHARMA(NE CCUS KE14NETH 9/00/40 ~ENT0fIELAWN ~(1X 7403A 3/30/01 67.70 7X 76201 RLANDO PL 32854 00 response to MI JOCtion efforts, uu" 202 P1795 ~$nrq nox at CHAAMAINE bD KENNETH I2/E8100 DCNtUN ~'~x 7003A 3/30!01 btS, 00 + TX 76201 LA1400 PL 32094 NO responSo to Collection efforts, 201 16607 WM%0NHANDLg ' DAV1: X 76805 U 60PHAiNANDLS DAVE 6/0/3 N Tx 76201 MOVedI lefono address, 3!30!81 82.70 201 14941 Wg PHYLLIS , DAVID 1/S.0/tltl p4UC~ANHANDLE ~iUIANHANDLE ' 3/30!81 30,00 DENTON TX 76201 Dr.NTUN l 7x 7bn G01 MOYOdj left no address, 101 21296 ffIl.L8 1 THERESA Ogl/MnUNQ S XnA002 X CHARLES L O/?:1/07 bJ26/00 3/0/01 70, SO f TX 75180 DCU441Y TX 70158 Arrangements not kopt ei1Y ` 202 17424 RW b Q K , TINA 0TG P ~j K CHARLES P 7/7.7/00 P IOT~P INT TX 76218 L~T JIMT TX 76.D8 NO response t0 Collection efforts4J81 06. 05 201 21183 pHEELtjR 261 , CATHY ~JHCEUI.ERX 265 CATHY 9/01/00 00 BnUUBX U 3/30/sl 171,00 DANGER TX 76266 SANDER TX 762266 Insurance paid directly to patient, i 1 23386 }HH S 7 , PAUL Wb[y1tHHEL 37 KATHRYN 10/213/00 60.00 A uU G/30JS1 A OYL TX 76926 ARGYJ TX 762:6 Movedl left AO address, 1 401 15136 WWYUNLER ROY yylrHlli"( ER AN1419 2/23/00 1 s R 2, 3OX 33 NT. 8, Doti 33 !/30/61 60100 I AUbREY TX 76237 AVbAEY TX 76227 NO response to collection efforts, 201 23686 WH D1AA7 y ! 6 ONOOMDgRAY Nbot 6iT ONatlrIDgRRY bA01D ll/[3/60 3/30/81 40,00 T N TX 76901 • DDNT N TX 76201 No response to Collection efforts, j 1 t r ',u..,,,......,,,,.»..._..._._..._.,.....».. . ........:«.G,1._ ,...........w.,.M..«... e.~a.+..+.,uinwnwaYrrYirurrinuru~nrw u BAD 090T TRANSFER REPORT FOR PERIOD 3/01181 THnU 3/:mmi PATIENT NUMBER nxneann+rn PAY @NNT NAME araxr+naa nnn+eanu OUARANYqR NAME »sunaaps DATE DATE PATE 0P DALANCH PFX NVMU1tR NAME, AODR, C~TY. ST, ZIP NAME. ADUR, CITY, STr 11P AI1MIIIL0 DISCHARGED WRITEOFF OF ACCOUNT ' ra.. .----_----rnrw r-rrMrr_rr..rrrry NMY 201 ~19D39 WATQR , CYIOTHIA WATERS CYNTHIA 6/:30/00 3/30/0! 69.20 LEWIEVILLa CNO TX 79067 LEWITSVILLU END TX 70067 NO response to Collection efforts, 201 18695 WATKINO 7AMATHA MhLONE USANN 6/04/00 3/3U/SI 74.00 P, IQ CLEVELAND IP19 CLEVCLAND ~ENTON TX 76201 DENTUH TX 76201 No response to collection efforts,' 201 16134 yy~~ATS014 , KIM Vy1ATION ROYCE 3/22/00 3/30/81 64.10 $404 nEDFORD 9401 RE:DFORD s ESA TX 79760 OUV88A TX 79760 No responso to collection efforts. 1201 21799 WRRD CHARMAING WEUD KE14NFTH 9/09/n0 3/30/81 67,70 a^ 06 ROUPLA14N ppOX 7403A Qllii ORNTON TX 76201 DRLANDO FL 32004 he responso to call"tion offcrts, 202 2.4795 RWWq'Lf+Rp4 r CHARMAING DWNWp0 KENNETH I?/80/00 3/30/01 65,00 1 DENTONOX at TX 76:01 rlr'ILANDO A FL 3:054 00 rOSpOnSO t0 collection efforts. 201 18007 WabCH DAVE M CH DAVE 6/09/00 3/30/St 02.70 SOFT PANHANDLE 50 PANANDLE j DFFNTON TX '76201 DG TON T% 76x2.01 Moved; left no address. 201 14245 WL C~{ PHYLLIS ~GLCL DAVID I/PO/00 3/30101 30.00 000 F'ANHANOLC wti hANHANDLG DENTUN TX 76201 DhNTON TX 762101 Moved', left no address, 101 21296 WH1 LS , THERESA $f~UMOr7 I,iNO CHARLES 1. 8/2:i/SO S/?6/00 3/27/01 70. SC SCURRYA YX 70100 U"CCURRYY rX 70100 Arrangements not kept. eqY ' i 202 17424 RWFg4ilSINT , TINA 76:Sa PLSTppOINT CHARLES No rnspOns4 to collection efforts, 0/81 Sb.Oa 201 21503 PHkE$ ru~sjR i CATHY - 'HrrEL Rp CATHY 9/O1/n0 9/30101 171.00 BANOCtiX 265 TX 76066 SANORkk 265 TX '162166 insurance paid directly to patient. f f 23306 i 0P1.rA r PAUL H •GL n KATHRYN 10/20/00 0/30181 60.00 AROYLBJ7 TX 76226 AROY11.B37 TX 76226 Movedl loft no address. ,1101 110130 WN GE an . ROY WHS$ 8R . ANNIE i2/23/00 3/:10/6! 60.00 4+IY ' AVIIR 4 °°X 33 YX 76227 AUhR 4 box 33' TX 76227 NO response to collectioA efforts, X201 23896 b NT MNDON02RRY Nkol TX 76201 OIiNT~NNDGNDLRRY N201D 7% 76201 tiolr1/13/00 1 esponsa to collection effortso/Eit Ao,OO D i t t t i r . 1 i 1 r IY UrJF J/:11/III 10:CI:1: F. L El W 11 IE M U R I A I. H 0 6 P I T A L PAUE 30 BAD DEBT TRANSFER REPORT rOR Prnton 3/01/81 TIIRV 0/30/8, PATIENT N,1MpER nea.naenq PATIENT h1AME anynanaaa n,ao+n,a-0'AIlAhITOR»NAME»*<+yxa+l" gDID11T1ED DISCHARGED WRI EOFR OFBAAGNCIf COUNT a I!FX $'.Vt10ER FIA11~;_,AUDR..»C1TY1»9T=_ZIP»rNAhiF.: ADURY C11l. I'T. 21P --I 201 KIMBERLY 1/2.7/81 3/30191 20,00 26304 Wfill81DC»E KIMBERLY WHITE 613 )iCAE9T 613 fi1D0ECRE9T Ll'WIBVILLE 7% 79067 LEWIE;VILLE TX 75067 NO response to collection effurtsl 201 9779 WHITPOnD JOE WHttTFORD I JOE 2/29/00 3/30/91 30,00 10.11 RODEN 0902 IOA1 OLDEN 0902 DENVI CO tl0219 DENVER co 6otn No response to collection efforts. 201 14026 WSL9UA REBECCA WILUUR i RF.DECCA (/23/80 3/30/81 20.00 CHARLUV79 COCHAAIJ MI 40813 CHARI.LITE COCIiRAN 141 48813 No response to collection efforts. 201 10321 W I L 1UItN ROBERT W WILD RG::EAT W 2/27/80 3/30/81 67. 50 OCNERAL ppELiVERY OErlMRnL DELIVERY ~u MONTIE VIRTA 00 81144 MON1E VISTA CO 81144 Moved; left no-address. j 201 19047 41. LCtlX 1 8kIJ10E pT~~OUOX 222:14$ , MACK 6/19/90 3/30/01 16,00 DOX 2 1349 AUUAEY T x 0 AVUAEY Tx 76227 No response to collection BffOrts. 1 23046 WAI,WILLIE ljb[%F EBTE$ 8T WILLIE 10/19/80 3/30/01 46.00 1c0 L E8T96 BY MIDLAND TX 79706 MI06 F T% 79706 NO response to collection efforts, 201 22199 ILK19113OU ERIC I1 RR AOUNA RODNEY 9/11/00 0/30/81 81.00 T109 LAGNA DENTON T% 76205 U1 5 L Tx 76201 NO response to collection efforts, TOMMY 2/07/80 3/30/81 29.90 INS i 001 I4609 10, 1 N3 O LINK ARAM ~t016 1109 0 LINK T% 76803 NO rOSpOn50 to collection efforts. it N I {1 ON TX 7 6114'01 DEN1011 11r. 201 16043 WW1LK1NO 1 nnilNjjgg ~1LKIN`j JOHI 3/19/00 0/:10/81 37'90' l fil, 9 ACORN RANCH E4YATE'3 WT. 9 ACORN RANCH ~i$TAT 6 BLNTUN TX 76201 DCNTON T 76201 No ro4p0n6e to collection efforts. 1AME8 fil,t.ARD , AUBREY E 3/14/4.1 3/30/61 67120 241 1J9 t4 IJI 110 1, ,7, BOX 9,16 I'. I. P I' IIUX 946 T%, 76201 No response to collection effol ts. ~ I UENION 1X 7f 'J0: UENTUN 1 LfnM DOROTHEA 1/12/00 3/30161 67145 20l 13621 I. IEN1R0ON M R080 34~ ftOBERY$ON T% 76:01 Moved; left RO address. It0UER760N Tx 76801 DEiNTON 3/30/01 16100 G pa q 'i 201 R.2^.904 W``~b~IAMR CHRIr,WHIZ S~ IN80RIO CLAUDIA l0/f3/80 mu Rls DLNTOW TX 76701 DEN ON Tx 76201 No response to collection efforts. ' 201 1134 W~LLIAM9 CHRIBTON,IE 3LLIIrAiAULCY CHRISTINA 1/,/0'1/80 3/30/01 16100 DOh1of! TX 76:01 No response to collection efforts. 7 1 NRAOLEY Tx 76201 l) 61INTON w V ~ M•Iw..Y... w....-..w.+...... .....w.....w-w . w.. y.... ...e M .w..,a.a..«.~..............r.....«........r.....~...., ....r.. ..a r..... a... ..rr .y I``{1IIVM~~ I I I 1. son is WYev1Y~ x E T A L PAGE 31 -DATE 3/3l/91~10:33....._... ~+~.~'_~..W... M 6 M O R [ A L H g 8 P S BAD DEBT TRANSFER SCpORT FOR PRRIOD 3101/81 T11RV 3130131 BALANCE rwawwwakr PA wawrwwka OUARANI'OR NAME *04#*kga AD6;IIfDATEE.U pHAN WRI . 0f: r y PF « D ----H-C0 OF«-ACCgUNT u~ PATIENT INUMBKR CJTT « NAME - X NVMBLT« NAMC, AOpR,-~ 8T'«2a1aPk»w«Cyraawr AMR, ADDR^»CLfY-, ST-, ZIP - - 1/06/80 3!30/81 39.89 CLAUDIA W LAMS CLAUDIA' 201 19738 WILL&AM~ 3,q [SRADSHAW No response to Collection offorts, 32RA SHA14 TX 76201 DENTON T% 76201 2q, 79 DCNTON CORIEYfIA DORETHA 5/09/79 3/30/01 LIh11 90t F ~1 If RqB aTSON TX 76701 No rosponse to Collection offorts. 4328 ENT np RTf;011 N TX 76801 baNTON '+7/00 3/30/81 122' 0 LL AI r 3/°. } 801 16199 WILL~AMKOX 609 A pAV,IO j~• qX 609 A ' phVi O n Tx 762ri. Movedi loft no addross, DT. TX 76201 DENTON 6114/00 1/30/61 34.79 W I'; Arty DORETHA 20t 18986 LLtN4B DORETHA W ~1Lf~ORLRSTdrJ No response to collection efforts, 1 Pau RT8pI1 TX 76201 DENION T% 76201 24,00 117014 CLAUDIA 10/13/00 3/30!81 EDWARD hLFXhNU'iR 201 22903 j11 61 jijy hRIS 1130 MOIRIS TX 761:01 No rosponse to collection efforts. {U) NS UN TX 76201 DENTON 3!30!81 78.60 W~LL1Ala8 CR14E:ST 6/06/80 } 201 ;8734 ERN StLihM i 880;1 BOIL-D-LINK, TX 76201 No response to Collection efforts, %1563 DOB-O-LINK TX 76801 bmroN DLNTGN 3/30/81 94.39 3 JAMES 1101 100 202 12266 WILL S~MS JAMES WILLIAMS 6"0 LONDONDERRY Owl TX 76201 Moved; left no address. DUNTINNDONDERRY'MS41 TX 76201 D.NTON 3/30/81 30,00 kRILI IA119 JOHN 8/11/80 1 2100 ~JJL6IAMB JOHN rs 76226 nROYLE TX 76r^.ab No response to colleCN on efforts. 44.80 ARGOLfi TX 2/ 10/00 3/30!81 MSpLE l4II L,IAh DCTTY 202 b9tli W L IAMB ii 0T 11 U NTON ~ SE Tx 76201 NO response to collection efforts. 1 J~ MORSK TX 76201 pCNTON 3!30/81 :0.00 VERA 0/." . 1 /79 11111A WIL IA11S 1 8392 g1QI IA KHVCN 81141/ 401 DPKHVEN N11A7 TX' 79834 No response to C011eCtiOn efforts. III { TX 76234 DALLA i; lAM90N 10 9/83/d0 3/30/81 91.29 v• I l~~ cHARLSB ' 201 10286 W~jSIr}VIL tAM00LANGE KA9iO N,iH U v{LLAOts FAST MATX 76 left no address. ~0~RLHBTX HN OIJ 2101 Mov 69,70 NTON 76201 L U y CHP.IBTOYH 1ed8/09{/80 3/30141 ; 201 24627 WyL09AMDDA&8 8Cb CHRIBTOPH6ry DgNTO$Af~SDA89 tlcd TX 76201 Movedl left n0 address, a N ON T% 7b~0t D gg 0 3/30/91 63,75 14196 p~tl~OAf f1TATfiB~ 1 0~7XA 70060 LANis4o" O$T 130' ELJ%1A 70069 No respon 90 to collection efforts. 1 DALLA , N~ ALL i 1 i. 4 1 r Urt [1- 3/;11 /H i 10: J•I ~ f' L (l W Ih fi 11U I! I A L rI O 3 P f 7 A L 1+AG@. ;io b 3An DEBT TRANSFER RFPORT rOR PERIOD 3/01/81 THRU 3/30/61 PATIENT'NUMDPR 0#1444444 PATIENT NAME 444#0404x #44`n44xr0UARANTORrNAME rrtxxrtMxrtx `DATC DATE DATE OF DAIC 6 pF % I'iuvl NAME, AODR, CITY, ST, ?114 NAMC, AVI)k, 61 1 Y, by, ZIP AA _ U NU i!Y --r---_____._. ADI--T TCD DIBCW+ROED WRITSOFr OW C 4`01 23897 WILSON JAMES 1411.5011 , JAMES I1/13/00 3/30/81 16.50 RT. 1 8O% 27 RT. 1 80K ff27 PILOT POINT TX 76250 PIL01 NOIN7 TX 76250 No response to collection efforts. 201 14401 4ILUUN JOE WfLY014 , JOSCPH ?/0,?/00 3/3o/81 7L. 00 ''P~(ILOT P0114T TX 76258 PIIIL07 POINT T% 76208 NO response to collection efforts, 201 14407 W SON AVONOA WILSON , LAVONDS 2/05/80 3/30/01 43.00 LAKE DALLAS SO COURT . TX 7D065 LAKE VALLAU 90 CT. TX' 75065 No response to collection efforts, le 201 22667 WILSON 14ANY WILHpW MARY 40/0640 3/30/81 45,00 UEWTGN PRAIRIE TX 76201 DENION PRAIRIE TX 76201 Movedl left nQ address, 99 62880 WILSON RICHA WI~FON HELUN 7/29/78 7/2219/70 3/30/81 38.70 76'201 DENTUNIJNIF. T% 762201 MOVedy left no address, 201 17662 ILSON SUE 11LIION SUE 3/08/60 3/30/61 78. as 72gE 9f NICHOLAS &HAOY &Hong88A TX 76201 1) ON OH 45410 No response to collection efforts. ' 201 15155 WIL'SON ; 1710 WALNUT T0RE8A ' t2/>'8/LSO 3130/01 70.00 CARLAND TX 79040 Movedi left no address, 401 10800 W01P LORRII.* WULF DEANA 1/227/30 3/30/01 611'25 IV 411') REDSTONE 411" 11COSTONG I DENION TX 76201 DENTUN TX 76201 Nn"response to collection efforts. I1 101 ,2,3047 W0L+r DELOCRY WUl.Fr DE'LnFAT II/IV/00 11/17/00 3/36/61 34.36 1 1n,rYlrfili.; 11d7 WrLLB IF P1 WA)'Nr IN 0 PT WAYNE IN 0 Movedi loft no address. 202 93047 WO~& DELUERT WOLF, DlIL05A T 12/30/60 3/30/81 19,20 Ib"7WNLL 41.2. EAOLE FT, WAYN IN 0 T WAY14C IN 77777 Movedi left no address, 1 201 15139 WOOD qr "K WpOD AN SS 2/$3/80 3/30/81 43, 75 ? 4904 CVERY PL BtlX %790 4500 AVRY PL BOX 1l790~j 1 LLWI LLE X 75067 1.CWfgVIILE 77, 75867 No response to collection efforts, oU . I JY 202 14441 A9d13 ADCnY PLACIT ' CRYSTAL Apppp A 9Ry PLACE ' MANDY 7/OD/o0 3/30/81 32. 5p y LCW10V1LLE TX 75056 LL'W 5V LL6 TX 7$066 NO response to collection efforts, f 02.01 220384 pulllurp SHERRY J8HN HN I A1.VIN 7/26/80 3/00/81 99,00 d ' ILLOY PbiNT TX 76Bse fQ1L0 POINT TX No response to collection efforts. ; w..M.., r.. ..r..r+..ww. H.r .r... r r.. r....... ~~r.l., ...14,221.2 _....r ..a ~:u,.... w.. .....u.. uror w.urw i . r..l r.M n.b.w ..~..ly. W~ r ' .w.r~wr.2.......r. ~ 1......nw.....++.u...w. TFMwMr.rYMwM~Pw~rwMwMwN , L f f 'r 41. . ' ' ' F„u~ s~ DAi~i 3/81/01 10.3'1; FLUW MEMOR I AL HUEP 1 T AL ' IIAO 0&OT TRANSFER RFiI'pRT FOR PERIOD 3/Ol/0f THRU 3/OO/dt ITATG UATF. OF DALANCE aaaanwna CtIAf1A"lTUR NAMG wawaaaaa CATf' - _ " AUP1l1TED p15CilARC@0 Wlt17EpFF pF ACCOUNT pA71EkT Al'1Mt1ER aas~waaaa PATIENT NAMG awa!!w•a►w ---N---__-..-------------_ ~ PPX NUMBER NAMd, HOUR, CITY, 87r 21H-rNAME, AUUR, C1rYr tiTr LJP iq,50 , WOtlUSy r JERRY l0/UA/7h 10/OA/7`1 3/80/81 ; !01 10103 ~1~OU9 r JERRY 27 1'LI.l.AOE NORTH a A VILLA01: NORTH Tx ~gDb7 LBWIBVILLE 7% 750b'/ No reSponSe to c011CCt10n effOrtS~. A6, A5 L W16VILLE 7l0~f100 3/30/'31 r LEE WnUn0 , JDHN LEE 201 14b$0 b~pO~EXA9 6A0 7RxA9 TX 76201 Ho responso to collectlon efforts, 3.^, d9 UENTfIN Wx 76201 UtiNtUld 6/p7/tl0 3/30/01 b r 14C400Y 8IM8 P'AIJNIE 202 1b7A6 Wsg1431!A9T HICKORY 1014 EAST i{TCKORY TX 7b201 NO response to Collection efforts. , pEIN1(1N ~ T% 7h201 UEIJTON g/2^/p0 3/30/81 9.T, 50 lo r CHR18 Wtt1OHT W 201 182A7 W FIT 1017 LAOUNA TX 76201 NO response to collectlon efforts. ~S7 l.AOUNA T% 76..^Ol nGNTUW 3/;10/01 7:.00 w~ENTpN , 9RYAN 7/i%/pU Wp r PATRICIA wR1GHT gp1 ".0141 R71Q~{fT30% 6A~9 tr,rr f}% bA-0 Tg 76826 fl0 response to collection efforts. ~ ~ At10`(L 7% 7622b AROY4~ 3/30/81 g'7. 00 i WR[GHT JAMES A 9/17/80 201 12161 WR~OHT r ~1CHARp 616 LpNOONDERRY N2b3 T% 76200 MOVCdf left n0 address.' by LONOCNDBRRY ti20 TX 76801 UENT01{ 59.00 i UEN7pN l/33/p0 'x/30/81 ~ 1'QUNO r JANICE j + 201 13b73 Ytl~1N9 , JE00ICA ~ 7 2 HWY le^.1 GAk1T ~ . '/8;} HWY ill EAOT T% 7gpG7 LgW113VILLE T% 7806% M0Y0d; loft no eddreSS. g7, 00 1 ' LEW19VlLLh I/10/81 ~ 8/30/81 r 0 R1CK ~ ' 4p1 299bg 'Y1U1{~ ' T% 76,.01 Moved; left no address. I l,1NCC LN PARK n 3/30/91 81,00 DCcNTpN MICHAEL 5/03/80 U r MICHAEL yypOUNO R 2p1 17481 pOgN~01Rf 1608 Tx 7b201 DENTO~% 16D9 Tx 7b:01 FIeYEd1 left n0 dddreSS, 71 y5 1 U9N11N yy SJ24/9l. 3/30/01 f 201 2g9b0 2 N G r : Rp9TxR 7g0e,/ L~W~9~iL3l~.B 121 RODOER l~it~ ~ lIWY. 181 TX 78067 L W g11LLE r TtlTA4 DAD OE9T WRITS-OFP TH19 PfiR10f7: 75bQ8,gb 1 1, ~ ,j l:, ~ I ~ ` e ~ r- 1. i ~ j'-~ y~ ' r t~: 'I i / ~ ' ~ 1. i ~ , pp r rr MM gg ooVVpp ACCOUNTS RfiCRIVAPLLECCACppCppOUNTT SgETATUUgqSppIRQQEPppaRRY ;WSVRF%AMNUM25A OUARANTpRRADDRQBgA+EPHONE A%C DI8; 1}ATB HED1CAtIS $~~gg CHARITY tt CHARGE-OFF 33 LIST #I I ug pp ~bb gg LLi~pp pp~~{{ RRy ry gg11 Ulf AATY5NT0DUE CUR~t, D ALQD PATI12CT SOIS 205414 NAOENTON~LTX7j2QASTUDSi ANISUIIA 200.00 307 0707 &111-Burton Criteria. 649'03 gq$,91 BARBS 66213 AN%-ITONIE HARBTY 76201 382A2758 98 2/13/S1 Jp D8 (7N 105. 60 18g,Q ' 2g RDS N K% RNA BIRDSONG J D Hilt-Burton criteria. 15997 8= 1/23/81 460-20-779 100.00 AUDI~EY TX 76227 387-6065 j1Hp1t39939 TbpyiIRC6 BISHOP DONALD 9 /24/ 1 Patient dead or arrtvall balance after Medicare, 1t 1 BENT N TX 76201 6660065 9/01/91 900.00 ¢~t q 1974. 80 1974. 0 98 20TY276803 CNRR LG2 I! Bp7(h,1p8RTY CHARLES 066 3/24/51 Hill-Burton criteria, AUTORBY TX 762,27 360-2770 9 30100 QB O0 101ccUNR8CCyy Denton County jail, 30,00 E 4067 DO Y p M OHAUNCY DONNY p lA ~88 q s Af10YL 263 TX 76226 NONE 900.00 D69.45 jo$ND#~19x7r A2{M OPC. C ViLLAOjHj 1`U ANISUIIA 9 / b/g i DB'N7ON #X ~b1 '3&7»0707 b/~B/8~ 200.00 151.00 151; I ~d1Y 860000 IIILN 9~9L~EjgLy.6 118$67 WELDON S6 1/25/81 Hill-Burton criteria, • ~IIJJ! 8 1 ff 76 9 900.00 gg gyy 70.25 76.."2 4 I WI%Iis pE R po•WICA PERRY 0enton County Jail, Y X 1761 TX 76201 01y3p2tl996p7 1/31/81 4832-01-711 100.00 20:88 64. SO 103 tarlat'balance after Medicare. ppplWiC34114 11 t9 . 103 PB R X.1 tt.754 SS ab JOLWICK PERRY 97 -0i»i7li Bur 100.0o CCn g YX 76201 &170420906 1 /9~8i 452 44A,84 167K s6pA12 1l0 gALeRY.CVQi Hi11 Burton drlteriai balance After Medicare. J DONNA q / / 1 rX 76401 357 8643 900.00 044.58 Hill-Burton criteria, i f ' t l t 4 i u... rr ' • •r• iYY • rl r r• Y ♦ r Y W 1 ♦ 1 1♦ 1'/\V4 V F ACCOUNTS RECEIVABLE ACCOUNT STATUS ROPORT PAT, A &MNUMBER OUARANrURRADDRE58AM#EPHONE R%C 019, DATE EDSOA D SN8.2 AUE ~ANNTDDUB 186. aBAL. A?1IECT 00116233601 DAAYSl5EW1UVIl0 ROKW75067 3OERL 87A0525 82 1 /2V 00 Balance after0Medicaid, 15010 1 10.00 ?10,00, DA~tB-53314 MA Y~EI? BUOARVMTAL7i404 MADOE 8t 7/01/80 46482 Balance after MOdlceld♦ 17.00 t7, 08 SOIUNRHV07 1Ap N70MCOTT EDMUTX8 76201 JANE 48 0%EI1 C\ 900. 00 5030.60 Hilt-Burton criteria. 20tY 107232 MICHAI~46 RLZY MICHAEL 97 1/i4/BO . 52.50 ~2.C0 Lz AUOR Y 7X 7b227 NONE Hill-Burton criteria, 449g99 qA10 g EtOtY 137237 M1CAU0REnOffI~G4ELZYTX 76227 NONEAPL 9 1~8~81 H111-Bu ton criteria, 484.45 489; 1 C. I iSaH02004R1 LGn NT 0N ~ COUNTYNJQ%L7CO JA 62o1 of lf,/Weo Benton County Jail, 1424.20 fill; 11 ~i CC ggqq 0 zzUU ppgg 33gg qqoo E0 3H R l LOO NN~jTdN COUNTYNJA0q~1LC0 JA 0/04/81 80 00.0 0 08 CA ; D NTUN Tx /6201 v Denton County 0611 E8 OVED YOLANpO EgCOVEDtl YOLANbO O t 150100 .00 1 169477 ~0NROLATIMOAH TX 7b201 0 ti00993005 245.66 2 ~,btl ggC ggppnn gg indigent care; Madicaid denied/ StOlOV16Q477 YOL`A/y3Qtl ATSMORjCOVEDO YOLANDO 90 0/2`1/90 500943845 150,00 00 00.76 e8,7~ DHN 0 TX 76201 9173924914 3314 MM ``gg Indigent care; Medicaid denied, pp 104N 264046 CADy T ODHOWFAINTX 76201 6b602b810 49 %21%a 900,01 Wo.110 ~ C 00 tt Hill-Burton criteria, ~~gg ppaa Q?N 264846 OA a`0Y~3tlODROWpA1N DEL0~~8O 9; 2/17/81 900.00 t1i; 65 00,05 BN ON TX 76201 066 H111+8urton arit6M(e. i s , S unit ai 10 1 o+ lc 44; r ti u w M t a7 V H 1 A 4 K IJ tf N 1 i A L. PACE 4 ~ p N pp ppuuAA NNArCppCgOVNTS nECEIVADLLEppACgCpOMMUNtlbT STAYUS WORT PAT~pP44 MflUMOER QUARANTpNRADDR898A+EPFiONG R%C pfB;DATE MBpYCAIA 100; AUB AATY&NTDuuE DFE Ohl, DAAVD PATIIECT 201R12D6040 IRNNTT ON HOUB9Ri'OX%201 3ELIZABET 5294626 98 1'/12191 900.00 40.46 ON T N Cp1 II•• yyggp bppT% pp 75665 14 year old from Crisis Cantor. LEONARD 43SEPDA4 ABE~OH0 NENEARD 8$ 12/19/90 W"299054 0: 06 60.00 0 ' Penton County Jail, 118"229084 LELAEppALleABApAT%D7tlOb5 NDN6ARD 9$ 14/24180 512.50 SB:~Q ss ptl o~ygpp{{gy~pp qq Donton County Jail. a0 " 229004 LD?jAANRPBjX'B6ACHT%575065 LEONARD 9$ 2/19/91 36.00 HAS 9 00 LEQQ AR yygg !Q LEONARD 9 3/09/61 Denton County Jail,. q4 7b 912"1229054 L F0PLlLL .IA6~A~O TXD780bD NONE $ 40.76 +~;75 p p Q 6 Denton County Jail, 101M0 73510 NA IAC80 128@MMTX 75034 2922439 S9 3/18%11 'Pool 00 1219.60 1WAS Qgy ISO & indigent. g 261rrR250391 WEDD TrON CEUNTYNN L76201 WESLEY 04 12/24/90 36.00 36:89 og gg 0ON Denton County Jail, pppp ISTIL264079 MAIJIN UDg6LLtaNLI97b201 MARTIN Ot 1/05/01 061-26-496 100,00 127,80 y; 80 T NN NONE indigent care. f0oppp DEN " ppqqLp gprr ORA 9 "818 940037193A so 0 8 8 86744 1NOtl0U.TN 4TH 9 676266 4593429' f ta.49 3313:49 I NNH„RppprR o tt Balance after Medicaid. 11 QQ33gg pp i ?STIL129724 ?A 1LpT Pt11k;?j10L2TT6tte9 ROONRY eb 6 Mi%Oa%tl0 900.00 1 Jtg6; 4 3 9 90 lil2aB, ao , p N pp qtp p~ 6 1` Ia g Indigent c8rei patient aeceasedl no assets, q ! f f4it'G;724 "j?eg7 OSMT~g fEfT76Q50 4974$96 129 ii/Ji4%O8 900.00 9539. 10 Indigent carol patient deceased{ no assets, . . k ACCOU14TO RECEIVA ULppBCCACCpOUNnT pgg7ATpUgp RTCEPRORggTg IINNyy Dp gg,, T g Ug rar II T PAIT~EPAFXAMNUMDER OUARANTORRADDRE66AiEPHONF p%C D49 A'TtB M6DiCA1p li fNB.~ DUfi PATfON70DU& CiJglt,61TA~1g01MFCT Qp g7r ENN qq 1013DLS291078 RO0lL0T PNINT? 3p 7X T 7b258 4974186 81 IQ%Oj%OQ 456-09-273 100,00 180.00 [18 00 v as v Balance after Medicare, bb qqgg ORAHL IDNA N OJAHL EDNA 66 g/11/684 1,08:88 169.00 lb9 00 lOt 207316 OPH7ONWOOD $ TX 76401 307 6708 1 6/15/ 1762839-01 q Q Balance after Madicaid, 101y 245976 VAS~N"OHOU6TONRp~7X 76201 3B2Db399 9 11MIN" L' 900,00 676,40 b9S:48 DE EN H111-Durton criteria. G G0 OR1FP7)!NS66g3 VBPOVDp1c 12 TX 7038 462F3926 Bb 1/I5/63 Indigent care, 60, 00 60, 00 1011E271839 DA AK 0ALLA97Cr17XR75065 497F3316 ;qe O~?o/gt Hl)1•Bur~toncriteria, t943, 55 ,19 i 101PAtp5694 . DOpR0TATL gOX' g3HALPAIN OtlNALD 978 21310 00 1492, 90 149 10 FRt CO TX 7$034 2921764 6 Hill-Burton Criteria, H0PA185644 DOrR~4L1D pOX 43HALPA1tJ DONALD q~ tf%24%2$ 800,00 70,25 ;2820 FR18C0 TX 75034 2921784 Hill-Burton criteria. 102RI146037 JFDq T AOLO M409R TX 76201 302 0629 66 %00%00 6150.00 00 25060,44 11490: 6 H 2 Medically Indigent. r 201E 249005 JAN1721~ COUNTYL~1¢1.7620i JAMR6 8 12/22/60 Benton County Jail, 163.00 160; 80 HpLBONot DODO 1 Yp439R7 000019 0$ 2/27/81 ~g p 20i 9q N COUNTY J 1L 9 08,00 36 OD ~ klSr~ ~x 76201 Own County Jail, { 1b! 3 I' 382" 21964 F8 9"AUDpX LNDRH ROBERT q6 11%02%$0 300.10 165.7:7 2190, 1$ VON 7X 76201 Hill-Burton criteria C DATE 3/27/95 12;92! PLOW M E M 0 R I AL H 0 8 P I TAL PA06' 7 77 uu ACCOUNTS RECEIVABLE ACCOUNT STTgATMUad REPORT M pp gg MIT gg Tar CUR~tr AV PAT1EpRF%AnNUMOCR OUARANTdRf1ApUN 98A+EPHONE R%C p19.AATL H6D1CA%q 11~4: pUH MINT UVE 9Dgp A+( ECT NCALE E5. ZADB~H NNGAL ELIZADET 8t 2/19/01 4b4707G84A 100,00 04.00 207 40972 .:29 ARROLL 04 1-21200 -0 ENTDN T 76201 397-0006 Balance aftor tlodicaid, 6 s 5~Vl"A99072 LAvnA b33 EgXg LV5pRpA ALICE q7 1/23/01 900. OS 65,00 bb: 88 Ud RLLAB 1X 75065 NONE 4 t, H111•Burton criteria. rp U ppA A pLO MARCUS 6 17/06/80 429314001 100,00 20,00 88:88 ~p~AZf5~S5q„ MADJ W PRAIRS iZ f67b201 NONE Balance after Medicaid. qq Q ~~yy0p 5O68M?78276 ~JAP)DNTnN CUk7Y8J$X4Si8b201 JAMES 88 0/45/81 400.00 90, 00 9s:tl0 oo HH gg Denton county Jail, 0:10EIt46264 .Jai pTp~ COUNppTNOJAIL JACK 8$ 9/27/85 a8,oo 88;88 ODN70N TX 76201 Denton County 'Jail. qq g CH!'ggTEgg MA y ' OCHEBTER MARY 1/11/81 900.00 72,60 7:86 Y0 ~1 2D0~166„ , Di 9NLOdV8T TX 76201 Patient Is minorl moved, left no gA WAY SETLH GALWAY ViROIL g IM IM addres900.0onforniation. S0 230563 626 ggMtTH S I"/~I/8Q 62 gQ 77 DINTON TX 76201 3622039 Balance after Madloaid, 56 CC NN r 1 o q7 pp j 9S1M1117171 LATDASs BX Qb6SJUJIIT.A LAURRITA eg t2ffl~A8 100,00 437,00 A 7:90 n 711 76201 NONE N T ON LOW income{ indigent care. ' g g 66 1 a g 12 gCo qq II TT OLP.0D N CO7T OLADIN& 8 / / 100.00 106 Ot60y pl1X 1130 6 1/8/81 420761701 24,00 i, OSNir TX 76201 NONE Balance after Medicaid. gg ORAyEg ALBE T B SgAQRAVtiB ALBERT 61 11 fiy 80 19q„~i•II7a 164: 80 16, 00 64>~~: vv lG 560407 D gppX 483 ;q p~p c gg gqTXXg 76266 6174083369 Balance After Medicaid. Big ~03RUQ46009 RD DD ON 08UNTYnJcy5L7b201 R081'.RT 64 2/16/61 08,00 1 D ' Denton county jail, t I/Nlt J/K/Ipl tb. 9/. ~P u n . n v i. • r. r r . • _ ACCOUNTS RECEIVAOL6 ACCOUNT STATUS WORT PAP%F' V( MNUM9ER CUARANipRRADORB09A+'PHONE W, MHA76 6 1N8; 8 881 T'DRA CU,1~1.59Aiea PA ROICT EN 21964 PHIg9MA51)RX LNOAN „pHILAMAE 91 300,10 NTON TX 76201 307-2364 6 p1 646 t2 I,S Hill-Burton criteria. 8Z1N253336 "pNp xYx b N fAV1N DENNY at 2/21/81 906.01 ayy oopp 1 K6 DALLAS TX 70065 497 2071 67.00 3Z; Op County RVIN "M Yx N IRVIN DENNY 06 2/0!/81 Denton 900,01Ja11. 1202 66 253336 r L~KED~ALLAO TX 75065 477 2071 9 n 67. 00 by: 88 Denton County Jail, 203IN203336 86LRAR59ALLAS RVITX 75065.497N$1071 86' 2/^S/81 11qA 9 t4. 00 14; p0 ttpp~04VI MNir f 6 Denton County Jail. >tIN203336 DEBOx 5DALLAbIRVITX 75060 497N201 8p 3/18/81 Denton County Jail. 108.00 ig8; 88 ,07 AMIi6 JOHN g g DD JAMBg Mc 6g JOHN S 9/29/90 ' 2:28, 2 8713 MOTUVTfi RUOO6~~ 7bft0t 392-0306 ~ 4250 349 0 100,00 62.60 t1N g ggtt Balanco after Medicaid, g po ~IOOM 43901 CAI N tlANNA LYNC7% 761103 8173576003 500, Of 292.60 D N Htil-Burton Criteria, qqrr 33 pp N 6 t/ /B 4 f 4 A pp o 78Y900143 RINTROBX 38S6T0X0 76201 NONE' 1 /i~/Sl t?018 ~1, 50: S6 70. 00 116~0:0~ ! Balance after, Medicare. i0iM1L19 T 5g1A yy MINAL~ 66 SANDRA 8 9/10/80 218619 N1,OMAC DO TX 76901 NONE WILL CALL 150 00 14.80 f:90 ' t g 110901618" Balance after MadIcara.p 10RL0R47092 81 0 AOLiti MILL DILL at 3,88%18 8 : NO R7, ao 47 98 N ON YX 76201 6173031871 ~ NN~~ NN p 6 gl Balance after Medicaid, q+ b lOro6R66Y26 C jj 1ILr0W 8AgX0o~bgQ1 007P 0E107 9~ / 0%d1 400. OS 094. b0 P74; 0~ Hill-Burton criteria. • til . j r N • AACCr366R0VNNYS RECRIVAOLE ACCCVNT STATUS REPORT PAC=gp1lPXAHNUHBfiR OUARANT8A%JRG06A+EPkONfi V/8 DOIB:DATE MfiD~CAlD N 1N8:2 DU6 PATY6NTDDU6 q,'d~~ q IA~I~GCT ?;1Illlblggb RONICBox' 921" TX 75034 RONALp 94 to// S 00 609.65 109: 8y Hill-Durton criteria, bo IOi Rl59t14 uI NTAa OUSTR1Al.NYK 7bi:Of 383~AO6S 81 3;Y2%88 420-01-403 10&: ?0 39, Or 16D, 1r E OprN~+ ~uf tHN HM PatienntD oxpiredi balance after Medicare, 8:p0 ; 20~HA~bb017 Jfip1N70N JUN09AIIL7b301 JgRRY 4 2/37/01 C . 38,00 3g pC i Denton County Jail 7HTMA14S847 RU N4 L SCRIP;UR8A8 RUSSELL e¢ 1/03/Ul 100.00 PA O ON TX 76901 3023383 Low income, 37, 00 7, ~0 i r j 101' 473633 JS6204"' Ng8A1►i A 76201 NONi 9a 3/12 Ni11 Bu tondcriteria. 1443,05 1443:95 % HMoyyp g pp nn N JIMMY 9& 7 3/07181 900.00 p 3101 73833 ~BNTGNEq~dN~R1 76201 NONE 08,00 88:80 LL gp g gpMpp up g y 1 Hill-Burton criteria, 44 3010 73031 ~pi647I8VILl8ggN ~ X 79067 NON6Y 98 SMAI 90d,00 0047,10 39qq77~ 47:18 Hill-Burton criteria, ~~gggg0 ~ iN H {{~~ggBB NfiNNt;TN 86 2/18/81 } 141!1 1d73 BR~R~d SoVNTY Je%L762d1 9 38,00 5,88 E g g Donton County Jail, pp IAMS W~f~LtAkfiHS'+ y~YtMINNRtaATLTX 76201 IIONELBY 08 2/03/Bf 234643801 900'00 88100 8g 8:OC ; y~ry Indigent carol low income. i if01T7113990a „~R ~q f Muf A;71R 74901 GkitO s~ 11/04/90 02. 70 2% : Indigent carol low income, 4 1 „ j ~ r I 1 I E ~ `r6' I II „ DATE 3/27101 12:59, F L 0 W M U M 0 l A L M 0 0 P 1 T A L pp PAOa 9 1 PATIENT CLASS COUNT PALUJNT INSUO{I66ANC9 TbUb~ OUTPATI&NT 0 469.15 u \ QO 460.10 INPATIENT' 06 731394,09 r00 73.394\39 emEnotIJCY 35 141072.75 .00 1472.75 • TOTAL A/R 76 75o 735, 29 1 00 70# 730\ 29 i i r } 1 I I } 1 !I I. r 3 I a r i r i i r . MrY Y r i♦ • r r• i ••,ti 1r ♦Yr• Wr llr + ir'rY • nr \ II • V r r 1 • ~i\ { r 1 1 r ' 1 I \ • ' 1 r~W11l~r ~/~ViAMr~•r.va...~rlMr NnrrirMaYISMMM i 11 yn ,idMR1 Ir BUSINESS MINUTES od~~ February 19, 1981 roe, 1 The Board of Directors of Flow Memorial Hospital met in regular session at 7,00 p,m, on Thursday, February 19, 1981 with Mr. A, E. Wyatt, Chairman, presiding, ( Other members present were Dr, A. M. Finlay, Mr. Ralph Havenh111, Mr. George Hilz, ar-4 Mrs. Mary Williams. Also present were Mrs. Wilma Fritz, Mr. Tony Franzen, Rev. Ricks Edmondson, Mrs. Gloria Madewell, Dr. Arvin Short, and Mr, Leonard Watson. The minutes of the January 22 meeting were reviewed and approved, following a motion by Mr. Hilz, The newly-employed Chaplain was introduced, and he talked briefly about the current chaplain program at this hospital and his goals for the program, Mrs. Fritz was asked to present the Monthly Financial Report. She noted that the current ratio is 2,33 to 1 of assets to liabilities and that the average daily census for the month of January was 101.6. She noted that January's operations produced an operational profit of $34,339 with a net excess of revenues over expenses of $61,202, Mrs. Fritz explained that the total charity and bad debt charge-offs for year-to-date are $369,181, which is an increase of 3.1% from last year; revenues during this same time period had increased 19%. Mr. Wyatt recommended that the $70,000 certificate of deposit which matures on March 6 be re-invested at a'banking institution within the County for a period of 90 days. The other Board members concurred and also agreed that if possible additional funds should be placed with the $70,000 to make a total of $100,000 so that a ;higher interest rate might be securred. The Administrator was aske f to investigate the possibilities and then re-invest the certificate where the most interest could be earned. The Charity Charge-Off List in the amount of $7,929 and the Bad Debt Charge-Off List in the amount of $79,034 were presented end reviewed, Mr. Franzen explained that accounts over $500 (and sometimes over $300) listed on the Bad Debt List are turned over to Terry Lewis the day -after the Board meetings for collection pprocedures. He added that Mr. Lewis retains 30% of all accounts which he f collects, there was some discussion concerning natural gas and electricity costs during the past three years, Mr. Watson stated that he had checked with Mr, Horseman ; s from Lone Star Gas Company, and he was assured that the hospital is given the lowest ( rate available for gas. Mr. Watson stated that he would check with the City of Denton concerning the electricity rates. Mr. Hilz moved that the Finance Committee Report be approved; this motion was seconded and passed by voice vote. The minutes of the Quality Accountability/Medical Audit Committee were presented and reviewed. Mr, Watson explained that the purpose of that committee is essentially , problem identification and solution on a hospital-wide basis. Current Q.A. activities f were listed and reviewed, Dr. Finlay moved that the Quality Accountability Report be accepted; this motion was seconded and passed by voice vote. Mr. Watson reviewed the minutes of the February 4 Safety Committee Meeting. He noted that the committee had discussed the problem of employees being stuck by contami nated needles and what is being done to resolve the problem. The committee had also reviewed the incident reports for the previous month and had made recommendations wher appropriate. The Board members discussed one incident in which a combative patient had injured an employee and it was suggested that when such patients are brought to the hospital by the Police Department that a policeman remain with the patient, } Dr. Finlay moved that, the Safety Committed Report be accepted; thls motion was seconda r and passed by voice vote. The Utilization Review Report was presented and reviowed. Mr, Watson explained that some of the cases had not been justified for either a of stay until further information had been obtained from the attond ~Hilz ' moved that the Utilization Review Report be accepted; this mo n was sdteqand t passed by voice vote. MAC QjJ$1 a i~ - .-s..r....~ .ettetL- xy¢}LYefzY3°• 14 ^•'r nu'n~4P e1w„Ce,,39 Ito 61su un 4610 14114 [AV I1 , l,aV 8.818 lJ 1y1ANAG%rR' 1 ul.~lteWv2RI ' ....nor .....,i>+. .......a ,.v...... - ».sa~4+kh41WAMMlka, ae w. 4w BOARD OF DIRECTORS BUSINESS MINUTES ne+. Dr, Short reviewed the minutes of the Executive Committee Meeting and explainqj~j -the policy which will be followed for the ordering of resuscitative procedures. He ( noted that the Executive Committee had been informed that upon the recom Adatiorf of the Emergency Room/Critical Care/Patient Care Committee a new defibrillator/monitor - had been ordered to be used by both the X-Ray Department and the Progressive Cara Unit as well as a new defibrillator for the Operating Room. Dr. Short reported that the physician who is being monitored because of a recent probation is apparently doing well, nothing inappropriate could be found by the Chairman of the Department of Medi- tine. Dr, Finlay moved that the Medical Staff Report be accepted; this motion was seconded and passed by voice vote, Requests from Dr. Mishendu Vasavada to change from the Courtesy Medical Staff to the Active Staff and from Dr. Edward Wolski to change from the Courtesy Medical Staff with privileges in emergency medicine to the Active Medical Staff with privileges in family practice were presented. The Credentials Committee, Executive Committee, and appropriate clinical departments had recommended the approval of these requests. Or, Finlay moved that the Board of Directors approve the changes as requested by Dr. Vasavada and Dr. Wolski; this motion was seconded and passed by voice vote. A proposed amendment to the Medical Staff's Rules and Regulations which had been approved by the Medical Staff was presented.(see•attachad). Dr. Short explained that this amendment would fulfill a recommendation of the Joint Commission on Accreditatio. of Hospitals to:dosignate a person(s)'to authorize the discharge of patients during a disaster situation. Dr. Finlay moved that the Board of Directors approve the amend- ment. This motion was seconded and passed by voice vote. I - The Administrator proposed that the Large Private Dining Room and Small Private Dining Room be combined by removing the adjoining wall, remodeling the new room, and replacing the tables and chairs. He commented that for some of'the committees with 15.20 members, this larger room would be beneficial, Mr. Hill moved that the Board o Directors approve this proposal. The motion was seconded and passed by voice vote. Mr. Watson reported that the x-ray processor approved for purchase last month ha been ordered and should arrive in 45.60 days. Also, the vinyl wall covering and drap,.. approved at the previous meeting had been ordered. He repported that a request for a waiver of hearing had been submitted to the 'texas Health Facilities Commission for e the move of the Home Health Services Program from the City-County Health Department t( this hospital, If the waiver is approved, than a certificate of need will be requeste. Mr. Watson stated that he had received some information from Honeywell regarding an energy management program and also that the City of Denton has asked the hospital to participate in a.,long-range energy management program to conserve energy, The Board agreed that the Administrator should investigate the potentials for such program An announcement was made regardin a Legislative Educational Seminar, for 0overnin Board Members planned for March 1819 fn Austin. Mr. Watson asked that any Board , members interested in attending this seminar contact Mrs. Madewell so that the regis- tration forms can be prepared, The Administrator presented an answer to the auditor's management letter and I. explained what actions have been taken or planned regarding each of the auditor's recommendations, Mr. Hill sugggested that Mr, Watson investigate the possibilities of investing the $125,000 which is expected to be received from the County of Denton im"'April and setting up a funded depreciation fund with the $125,000. Mr.' Watson was asked to 1 have a proposal ready for the next meeting. r i 11 ICIS: sI~YS~trid~ttt~l YlfAYP ^ ~-Yt'~?}--~ -YiGI~•ltliTQLi•Y't~'SYCfo146YY-MtI. lrllau.P AINHft,An..., IlU 10H 11111I41vVr ' IOIM ~•Q~b ' T BIiSINESS MINUTES oil M Mr, Watson explained that expenses are increasing, including recent increases in supply costs and recent adjustments to nursing salaries. He ractlmnended that the ' daily service charge be increased to $112 for semi-private rooms and to $124 for ri. vate rooms, This proposal was discussed. Mr, Hilx moved that the Board approve.these proposed increases, effective April 1. This motion was seconded and passed by voice vote, Mr. Wyatt asked what vehicles are owned by the hospital and whether or not the Administrator is issued a vehicle or is given a car allowance. He was told that the hospital owns only one van (a proximately a 1976 model) and that the Administrator'is ` not given a car allowance. Tge Board members asked Mr. Havenhill to investigate the possibility of providing the Administrator either a vehicle or a car allowance. There was no further business, and the meeting was adjourned at 8:50 p.m. i r- f / Mar. Henderson Williams E Sec! -etary f ym ~ M 4 r I I I i _ i ! i1oY .!I!1 IxNiaurllu O+/Ce„el ANT ,1 r+uI r j ' IIM}[I IIV. .1.. t I/A ..nwr.,...... .wwwo..,. ....w+.,,...:._-. ..•.,~...v..r..wwo..nww.wanww/ PROPOSED AMENDMENT TO MEDICAL STAFF'S RULES AND REGULATIONS 1 i PRESENT: A. ADMISSION AND DISCHARGE OF PATIENTS g 1 ~t 13. Patients shall be discharged only on a written order of the attending practitioner. Should a patient leave the hospital against the advice of the attending practitioner or without proper discharge, a notation of the incident shall he made in the patient's medical record. i i i i OPOSEp: i PR _ A. ADMISSION AND DISCHARGE OF PATIENTS ~ i i 13. Patients shall be discharged only on a written order of the attending practitioner--except in the event of a disaster necessitating additional beds foi'incoming ,casualties. In the event of a disaster, the Administrator and, the Director of Nursing Service with the consultation of_the President of the. Medical Staff and or the Disaster Liaison Physicians will have the i authooIty to-diSChato -ihrce patients from the hospital. Should a patient leave the hospital against the advice of the attending practitioner or without i proper discharge, a notation of the incident shall be made in the patient's I medical record, , G F r a FLOW MEMORIAL HOSPITAL BALANCE SHEET FEBRUARY 28, 1981 1981 1980 _ 1981 1980 Current Assets: Current Liabilities: Cash--Oporating $ 38,057 $ 5,165 Current Notes Payable $ 113,100 $ 101,540 Interest Sinking 917 61707 Accounts Payable 669,616 522,146 ; Reserve Fund 17,727 5,417 Accrued Payroll 78,814 68,383 Repair Fund 110412 7,455 Payroll Taxes 809163 111,273 Group Health Ins. 4,559 1,642 Fees Payable 130,725 101007 Investments/Board designated 236,498 206,299 Bond Interest Payable 79232 6,707 Bonds Payable 65 000 52000 s Total Cash & Investments $ 309,170 $ 232,685 Total Current Liabilities $ 11144,650 $ 9060956 Accounts Receivable $ 2 263,362 $ 2 085,414 Less: Allowances 229 321 283 468 Other Liabilities: Net Patient Receivables , , 11Deferred Income $ 178,160 $ 164,440 Long-term Notes Payable 495,000 306,035 Other Receivables $ 263,800 $ 237,537 Bonds Payable 375,115 __j660 Q0 Inventories 2621951 188,044 Prepaid Expenses 30,745 _30,857_ Total Liabilities: $ 20192,925 $ 1,929,908 Total Current Assets $ 2,900,707 $ 2,491,069 Capital, City of Denton $ 393,165 $ 393,165 j Property, Plant & Equipment, County of Denton 1,696,871 1,6961871 Land $ 37,647 $ 37,547 Endownent Flow Estate 240,461 240,461 Building & Improvements 31001,472 2,9571707 Fed. Grants, Hill-Burton 11868,910 1,868,910 ? Furniture & Equipment 3 9 7 240 3 563 213 Federal Grants 256,371 2569371 I $_7;9_ r 6'35W,461 Pledges and Gifts 3739300 3360503 Gen, Fund Bal. Beg. of Yr. ( 944,652) (1,1530821) Accumulated depreciation - (3.602 299) ~3 X253,266) Current Year 227,316. 23719,02 Net Property, Plant & Equip. $ 3,403,960 $ 343054201 Total Capital $4,111,742 $ 3,866,362. TOTAL OPERATING FUND $_6,3~04,6~67M 1.5 796,270 TOTAL`OPERATING FUND 6 30 b67 .5,796 7 Current ratio 2,53 i 1. { r r j WNW Ri „ Al"j Page 2 FLON MEMORIAL HOSPITAL STATISTICAL STATEMENT FEDRUARY 28, 1981 CURRENT MONTH YEAR-T0-DATE PRIOR Actual SgOAt Actual Budget `'oar-to-Date Adult Patient Days 3,011 21520 14,874 13,690 14,399 Average Per Day 107.5 90.0 9815 90.0 94,7 Newborn Patient Days 317 364 1,610 2,483 1,856 Average Per Day 11.3 13.0 10.7 1310 12,2 Gross Patient Revenue/Pt. Day $ 318.02 $ 298,55 $ 29',82 $ 298.55 $ 257.45 Total Expense/Pt, Day $ 247,62 $ 249.85 $ 251.97 $ 249.86 $ 214.58 Month Charity Bad Debt Recovery i October $ 28,023 $ 61,326 $ 7,117 November 29,827 81,970 60285 December 320562 66,439 5,249 I January 71929 79,034 13,313 February 31,616 100,778 14,073 $ 129,957 $ 3799547 $ 469037 i I ; % of Revenue 2.9 8.5 % 1.0 % G 5.13-81 4 u, Page 3 FLOW MEMORIAL HOSPITAL STATEMENT OF OPERATIONS, FEBRUARY 28, 1981 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Pr fit. Loss 9 ~ ' ally Hospital Care ~0._ ~6"` ,,12~ -f--33A-7- ' $ 97j9`j-T--69,059 sychiatric Care 6 533335 21,257 436 21,693 31,642 3/Post Partum 5 43,536 10,725 521 11,246 32,290 WU 2 22,225 133349 1,052 14,401 7,824 ursery 2 21,984 8,549 1,409 90958 12,026 onata1'Nursery 1 60580 9,266 98 9,364 (2,784) jronary care unit 4 41,305 26,116 41029 3Q,145 11,160 abor & Delivery 3 27,304 153522 3,490 19,012 8,292 ~M rating & Recovery 4 389774 13,793 19,951 33,744 5,030 ltergency Room 3 24,696 91707 19,914 29,621 (4,925) antral Supply 8 75,704 79223 18,292 25,515 50,189 aboratory/Blood Bank 9 83,048 43,693 43,693 39,355 ~dioiogy/Nuclear Medicine 7 66,465 14,681 16,533 31,214 360261 -iarmacy/IV 13 1285634 91051 31,019 40,070 88,564 lesthesia 3 29,124 10,464 61816 17,280 11,844 ~irdiopulmonary 2 190291 4,990 7>471 12,461 61830 §spiratory Therapy 7 71,399 9,163 31654 12,817 58,582 iysical Therapy 12)37.1_ 5144 276 5'420 6,954 nil 4 $2'3,)120" T-fW' i ~i9 Inductions of Revenue $ 65,591 $ $ $ $ 65050 ' larity & Bad Debt 87,498 87,498 opioyee Health ins, Exp. - 15,823 15,823 15,82 NI'fical Records -241 8,586 3,407 11493 11 761 t ShOp' 11460 1,005 940 11946 485 ifeteria 10418 220131 22$11 44,642 34,624 Iant 130942 395189 63,131 63,131 ~usekeeping 20027 4,467 25,184 25,184 sundry 6,823 11762 80685 (8,686 ! Iscal Affairs/Data Proc, 7,052 31150 10,202 (10 202 siness Ofc/Credit & Collec. 18,520 135336 31,855 ((31,855 Irchasing 1,186 529 11714 1,714 trsonnel 2,274 706 20980 2,986 imiM stration 6,019 3,284 8,303 8,303 :off 5ducatlon 1,658 934 2,492 2092 ineral & Administrative 8,611 28,321 280321 190716 ~preciation - U9508 32 508 32 508 ; , ,759 0 691, I IT , 79- $(41-2 437) On (Loss) from operation 741746 h-operating Revenue 210138 21 138 _....4,313 ~Undation 4,313 V846 libit) 391,942 $ 353.357 $ 745,299 $ 100 - ,197 rr+e.-u.......+. ...,....,-.~,.-.....w.-....-....-....rv».-..u..yam-..n.,.....w,..n.......~swu.w...n.-nn„«,..««......o.,..~......~......-.~..~,,,....v....~...._._..... r ' , FLOW MEMORIAL HOSPITAL Page4 STATEMENT OF OPERATIONS, YEAR-TO-DATE, FEBRUARY 28, 1981 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Othor. .Expenses Profit Loss Daily Hospital Care 19 $_.~62,9br9 ,10a 17sOH $ 45 0 X406, 9 Psychiatric Care 6 283,118 108,033 3,397 111,430 171,688 OB/Post Partum 5 204,318 61,752 50189 66,941 137,377 ICU 2 92,125 71,526 51357 76,883 15,242 Nursery 2 1102039 50,610 7,084 579694 52;345 Neonatal Nursery 1 35,830 48',530 13100 49,630 (13,800) Coronary Care Unit 4 198,254 133,447 15,263 148,710 49,544 Laborand'Delivery 3 122,271 75,635 19,037 94,672 27,599 Operating & Recovery 4 186,478 74,681 64,754 139',435 47,043 Emergency Room 3 134,285 56,490 105,103 161,593 (270308) Contral Supp'1 7 294,751 38,227 87,276 125,503 169,248 Laboratory /Blood Bank 10 4299004 204,243 204,243 224,761 Radiology/Nuclear Medicine 8 336,020 76,514 92,873 169,387 166,633 Pharmacy/IV 14 612,602 459469 169,278 2149747 397,865 Anesthesia 3 136,040 53,339 389968 92,307 439733 Cardiopulmonary 2 102,106 26,943 46,831 73,774 28,332 Respiratory Therapy 6 246,574 52,608 24,518 77,126 169,448 Physical Therapy 1 51 771 26 571 2,007 1 Total 1W% T~i';~` 1A39:483 909,o Z90 2$348o773 2,68997 2 j Deductions of.Revenue $ 231,71Q $ $ $ $ 231,710 r ~ Charity & Bad Debt (436,929 --436,929 i Cmployee,Heulth Ins, Exp. 89,266 89,265 (89,265 Medical= cords 940 45,486 91524 55,010 (540070 ' Gift Shop 7)030 5,558 41753 10,311 (3,281 Cafeteria 48,685 117,148 120,020 247,168 (188,483 r= Plant 74,247 1899731 263,978 (263,978 ~I ' Housekeepir,,, 104,550 28,281 1329831 ((1329831 Laundry 36,537 91186 45,723 {45,723 ' r Fiscal AM irs/Data Proc. 36,327 18,928 55,255 Mom Business Ofa /Credit It Co11ec, 101,397 479852 149,249 (14 ,249 Purchasing 6,938 3,731 10,669 10,669 Personnel 14,527 4,592 19,119 199119 Administration 29435 22,747 52,282 529282 Staff Education 8050 10803 10,253 10,263 , ' General & Administrative 1'2,85'1 123,117 123,117 (110,266 E S` Depreciation - 144 8899 141 789 (144.7010 ~ " ,319 T19399,1019 ~ $ { Oain (Loss) from Operation 91,620 Non-operating Revenue 114,129 114,129 67 Fbundation 1,567 2116 , Total 3 973 148 2 2 18 1,721,609 3 74 92227,316 3 , 3.13-81 1l 1 e, r, ,r I I 1 FLOW MEMORIAL HOSPITAL Pages SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS FEBRUARY 28, 1981 i Current Month_ _ _ Year-to-Date Beginning balance $ $ 112,597 $ $ 22,839 Cash received from; 3,442,319 Active patient accounts 797,843 46,037 Bad debt accounts 149073 Cafeteria 10,560 50,742 Appropriations/donations 105,752 12 483 186,892 Other 834 959 3,B31,742 Total Cash Available 9 08 , t Cash disbursements; 1,715,420 Payroll Payroll . faxes $ '67326,,515358 $ 233,423 i Patient Refunds 11,720 860606 142,437 Capital assets 34,239 5 Notes Payable 13,104 475 150 Other 4582229. 1,593,992 i Total Disbursements 911 003 31818,028 Cash Balance Dash Investments 236,49 236,498__ Total Cash 273 051 L 273,051_ . Gross patient revenue $ 957,666 $ 4 31,3936 Less; allowances (824011) -S -875 ~654 filet Patient Revenue ' ' 4 7 8 Cash received on patient accounts $ 797,843 $ 31442,319 Less, patient refunds 1 720 85 606' 'Net Cash on Patient Accounts $ e Cash Peoeived as a % of Revenue 89.8 81.2 % 3.13-81 z a; t i 4 l Page 6 FLOW MEMORIAL 110SPITAL AGED ACCOUNTS RECEIVABLE SUMMARY FEBRUARY 28, 1981 rimar PaAy_or Current 31-60 61-90 _ 91-120 121.150 150+ Total x of_A1 R Medicare $ 100,839 $ 66,484 $ 289105 $ 660 $ 17,299 $ 19374 $ 214,761 '11.9 % Medicaid 48,572 11054 25,260 31788 974 79,648 4.4 % Blue Cross 1119971 22,248 4,962 8,320 (389) 18,780 166,892 912 %i Commercial Ins. 282,433 99,072 31,560 12,700 159 933 426,851 23.6 Self-Pay 3209990 201,531 62,170 34,776 151015 979786 732,268 40.5 V Balance after Ins. 42,102„_,,,, 68,251 - 27 79 22,087 16,757 21,153 187,148 - 1_ " 0_ 4% $ 906,907 $ 44.8,640 179 855 82 331 47,841 $ 141,000 $ 1,806,674 100.0 In-house 483,551 ff Total Accounts Receivable IiLL90 ,,126 [ i A/R BY % 50.2 % 24,8 % 10.0 % 4.6 % 2.6 % 7.8 % # of Accounts 3,257 2,229 11422 280 180 601 7,969 c r. Days of Revenue; Accounts Receivable 61.4 f In-house 16. f Total. 1 { I f s s, ~ I i It (I ~ ...~...w,-..-.._.. «.r•w-....._._ ........._..........._..........+.,.....+~w.......MYM~•-~n1.Ewa.~rw..n[esM.~aw....w~•aww.ww.wrw.w.w w.v....--•-..~-.~._u.rr-.- r_._.I t 'r i. F/4YY4{AMA'/~k1/3►WJLy/M~lj~;u~•w•• ,.JLU::a.u.u..t<.u L~' .1(:~,✓n ..jIJ G,+tEC 2l26/81 IB; a w 14 ! M O R f n 39; L if 0 6 P 1 T A L PARL S A; HAD MT TPANSFER REPORT FOR PERIOD a""./Ol/01 THAU ',1/20/dt ,r. ! Arl&NT IXOEli NAM,*' PA EE:~\T NAIIV naaaaaaaa nwaa+a,~a OVARANTOR NAME aanaaaar DATE DATE A R dF' DALANCI ~ Prx NIJr!U1:R NAM ADDR, ~ST, ZIP NANO, ADDR, CITY, ;{T 7, 111 ADMITTCO DISCHAROED RIrEOPP Of+ ACCOUNT •..r u . r r . ...rr .w .r r+r..rr.....• . •..r ,r. ur ...r rrl.J w.yr,rr.. rr..u ran u.u w•.• rr.... wr yur rr001 nrwr Lwr UNT 101 23494 ACUNA SEDASTIAN ACUNA SEPASTIA14 10/31/60 11/04/00 2/25/01 667.59 817 LOOP Cue 0m 517 tOOr Pon 91a 1 ENTUN TX 76201 DENTON TX 76201not kCpt, iA2 2609 A.IAODUOX 116730 b LATEEF AJA11UE I.nTEE3F 10/ie/00 2/2D/91 131.00 .I X 67I9, N7G11 No res ~t<NT6' G IN TX 76n~.03 ~I:NTON 7X 7603 ponso to collection AffortS. I l 2::361 ALDh11DAOH JAHAL ALDA100H JAMAL i0/O /UU 2/25/01 21. DO , *24 S CARROLL 11:11 4 4 CARROLL 11?11 DE tv bN TX 76203 DfNTbN TX 76a01 11oVed1 left no address, t 201 14683 AL t.GN CULLB'N A(,LfIN CALVIN 9!^n0/SU 2/20/Ol 40.90 Ili: cvuw 1'J ? CROW DQII~ON Tx 76201 DGN6N Tx 76201 No rosponse to C0114C001 efforts, 1 ' SOS a^2af12 ANDfPCON CALVIN ANDG.08ON CALVIN 9/94/00 10/07/00 16/28/el 59,00 I i ?4'1 1.1 nELL 0103 24P IN BELL )003 1)EiNTGN YX 76A01 DLN ON TX 76$01 hlanco after Insurancol no responso. '.9S 19536 ARqUI) p , CINDY PRUNK NORMA 6/30/00 1/25/01 40,05 El.PI~I1tOX 64eE RT 1 POX 640ff, v TX 76266 GANOUR TX 76266 Arrangements not kept, I e 201 74943. hryrytl t.l DEIUDY An1~NOLD , KENNY 12/07/AO 2/29/01 . 47. 90 RY ~0% fop RT D BOX 103 1 DENTON Tk 76201 DENTON TX 76201 VOYOdl left no address. S 199 60330 'A YANPUR PA~/4A ARYANrUR KHOSROW 5/20/711 0/29/719 2/29/01 320.00 4991' WATGppI'I P. 0. DO% 9I r lp 491 ITS 14 DOX 9921e, t L6.14?SVILLE 73056 LCNIOVILLE TX 70096 Arrangoments not kept. 1 ' 301 21257 09, AO A OX 70813 11T5U, JOSE PH ASAORAX 705F3 NTSU JOSEPH tl/$1/6G a^/29/SL 7i, 00 i ~ft1 f, G I10 s DENY N TX 76203 UGN11114 Y% 76203 Arrangements net kopt, I 10! 13163 A1'AISAH DAIDOBT ATAIIAH MATTHEW 1/03100 1/06/00 2/09101 1oaa g r1 J03pY LAS 46. 7 1 IPU9 D I JOSf.Y LA1:E " 4nARpLLTON TX 70006 RNROLLYON TX 75006 DalanCC after insUrbntel no respons0, i0! 22949 A~ ~w NETT JAMES DAC4N5T r JAMES 10/14/00 10/ib/90 212D/81 706„ 3 i SOTN p21".^l 110. WOTH Nn "21 KEiNI1dWICK WA 99336 K9NNG'WI K WA 99336 Movedl loft no address, `101 :0148 ~A0tl4tl41F0F~J1 , TRACY PERU PRANCISCO 9/06/00 .9/09/60 2/29/61 999.70 BFirUN WORTH DR °12 ppAN iLROAD TX 76201 3 TX 762101 Arrangemonts not kept. ljCNT~Oyy YO^a 7127 bill=yr&D , NANCY TX 70ob7 6 ~13VtLE D CU T% t0 79067 No response to Q6. 90 r 11L4 V L L tO CO11eCttOn efforts, t To no i . f , r ,i, \br 1✓i Vim YNY.Ml~hM',IIMUa, 1waLMyWMRFYw4J11.1i('~/iMJM~aV~MLIR/~•_•• -Wyy~y{~4"nYJ~WWN•~•-~ ••»-'bY.W14LWMW~NY1MrWUWY.MYKwIPIWNwYW1YLM11•~ 1',•tiT@ 2ifi+/UI I°, .,9 FLOW N C M 0 R 1 AL It aaP I T A L PACYa a 1340 DfCDT TRANSPER impORT FUR PG'RIOD 2/01/91 THRV 2/120/0I r.111GfJr fJ"' fR sea~~anas PATIENT NAMG n+~anavgr p•~annnnn Vn 0 Ar r Rz P NAME ~uaiauna . DATA CH R DATE OF llA P'% rJJM'iFR Nnf•iG, AODIt. CITY. 0T, ZIP NAME, ADUR, CITV, RT, X11' ADMITTED t)I.CHAR0>?D WAI-EOFF OF ACCOUNT il)1 23055 DAKEA RUI)SELL ppAKER RUSSELL ,10/17/80 2/2D/01 54 50 1 RI I pox 12 RT I DOX 12 I A1oYLl Tx 76226 AR0YL6 TX 762126 No response to collection efforts. ' 2ol 17966 RANKS WAYNF R DIED CN CUNNIE 0/15/00 j213 RLM 3T. ``-13 ELM 9T. ^a/2^0/61 A4. 00 >~ANCpn TX - 76200 .ANOER rX 76266 BalanCe after insurance; no response. 102 17966 AN,i33 WAYNC A94DINSTN , CONNIE 9/30/90 a/x8/91 16.00 5A1JJEft3 TX 76266 bANCER TX 76266 No response to collection efforts. 102 16706 0AI:Nt9TFft RdaEnT 0AN141STER , LARRY 11/14/80 11/17/00 2/25/01 731.69 HT 39 LIKE M.AYEN USTA L3 LOt 39 LAKC 1+AVLIN ERTAT 1 LAKC 0ALLA9 T% 70065 LAKC DALLAS TX 75065 Arrangements not kept, r01 3130! Dtd+lilE WILLIAM ilmnlf WILLIAM 10/20/80 2/29/61 32.50 5""0 r'OUTH FlOwDI:LI.. 11160 OOr; MtJTH RUDDELL 11160 l DCNTUN TX 762201 UENtON TX 76201 Balance after insurancel no response. 10.1 1x041 D 2.11 ' FCNAA KIMIJURLY DQDNAR {I{{ , KIMDERLY 9/00/130 9/12/80 2/25/91 33 00 i I.A. 1111>AL4AU TX 75065 L2.3 AKCIDALLCA'3 T% 70o65 No response to collection efforts, t X01 11903 Da lfu{P DAVID PEINKII DAVID 11/"1/79 2/215/61 36v 50 2! FOX CRICLR 1;;1 rnY CIRCLE { DEF1ffNI TX 76201 I)WON TX 76201 No response to collection efforts, ,i0i 21702 ELCHE:R THOMAS 041.08CR THOMAS 9/07/00 2/25/81 37.50 110X 5'Q frlL4. ELM Tx 75060 LITTLU ELM Tx 79069 Balance after Insurance; no response, .".01 22559 R•L 0[ ORES DELL LUIS l0/OP/80 .U20/01 76.35 Rif ~j DOX 69 SILYERCOM. rtl !t lj1 014 ON Tx 76201 FRACO YX 70034 No response to collection efforts. l0f 11600 {lE4L JUDY O LL RONALD 2/10100 2/12/00 2/10/81 07.76 U( i r 3 DEM01'E C% 23 OE110Y6 LN AUMCY Tx 76227 AVOR,Y TX 762%27 Arrangements not kept, 101 22637 BeLL KATHY DELL JOCEPH JR 11/04/Uo II/07/6O 2/29/61 12230,1'2 PO 11dX 2009 PO DOX 2609 DLNrON Tx 76201 OENTUN TX 76201 No response to collection efforts. 24f 11116 91N.11 J1 TT . LANA WILLIAM 0/17/60 2/29/01 02.00 LAI, nALLA{3 CT TX 70000 SOkV,& OALLAfis COVRT Tx 0 No response to collection efforts, I 102 10186 9ELl.AR 0COROD 13EL~AR OEOROE 7/10/00 (3/01/60 2/?9/01 4070.15 ! ~f IPiLd r POINT. Tx 76200 PLUT,POINT TX 76^2'30 ND response t0 C011e0ti011 efforts.' i F { 77 a n.. •J.'~. M. r.. n~~ W..~.-tOS\. y'tif ~i'qLL~,i[JjlljtfAW,;w.i.r(A~"w•"'.sy~. .tip`" sV L... ._uyr,rBdwMiJ..,,,,,..... ~u 3 d DATE 2I.'~/lit 12 PLOW M R M O R I A L H O 9 P I Y A L PAGE DAD DEnT TRANSFER REPORT FOR PERIOD 'n/Ot/ul THRU t/3D/DI pp CC gg pp J p.TIENT NL'MBCR a~r~naJ"" PAYI Nf NAME: +n+a-l+unu naa+nnar 0 ARANTQR NAME -axaaasna ADMITTED UISCHAIiOEb Wf1TCOfF OFBAfGCtlUNT ~lJ~ - « « PrX JJUNt;ER NAME. ADDIt, C1T9T, 211) NAMI1, ADUR, CITY, flT. 21f KENDIGy D !t/04/00 2/35/91 32. 9U IS a01 ,^x:1603 uEll•JC77 CAMILE g•,ig FT NORTH 0136 S09 MA3SEY 044 Tx 7G;!ol U NTON TX 76201 No respons@ to collection efforts. SNTON DERRY BARBARA O/EJ3/60 D/31/00 2/25/01 792-95 141 21430 GBRRY BARBARA 11VI ROPCRTA DR ItJ 46~^sg NO response to Collection efforts, ON Q h ON9UNOLhRY MI Tk 76>O1 INHANAPPLB B T 5/l3/AO^./35!01 6$9.31 , DINESHIA BIBLE DINISHIA e.04 1310 714 7^A A1.FXANOJ3R 1 DE ALCXANOF.R TX 76?= DCNTON TX 76201 No response to collection efforts. D&NraN 2/^5/ot 63,10 £05 13102 DInLC. DINNMIIA GIDLF. bINIBHIA 12/lA/00 6 1114 ALEXANDER h 7V..4 ALEXANDER TX 76201 NO response to 0011@Ction 0"Oetsl BIiNI'ON Yk 76.01 OHN10N BLACK pA11l1LA SUE E1/.0/D9 7104100 2/33/DI 233, 90 I s 104 7017 BLACK PAMELA 1.121 VALLEY VIEW l VALLEY VIE1I YX 76r.".01 Db•NTON TX 76$01 Arrangerlonts not kept, D N1ON 101 DRADLLY OLAND DONALD 7/09/00 7!12/£30 2/3D/Ot' 42.00 17740 t3LAll3 ~y'! IANNIK ~I 7 7) JANNIE TX 76601, GGNYON TX 762ot Arrangements not kept. 1 O 11LIN BLAND 6,101/[Jo 2/26/0! 75,73 JABS 201 St;594 BLAND J939 VAST PRAIAt it TX 76201 L•[5 NTON TX 76201 Arrangements not kept, ,yy99 ggAST PRAIRIE o DBNYON L90N 11/04/80 2/21/31 32,50 w01 236t0 Bsm"I1l$ KHANS ROOKINg i RT P BOX 1061 11 tl.A.lohl DCNTUN Tk 6201 GE}J'ION TX 76201 Unable t0 locate, q6. 00 - S AMANDA f 001 11ANCIR DILLY 1/29/!30 2/01100 2/20/0l 101 14236 U OU TX 76.1166 NO re9 onse to Collection efforts. 1 s~ Nb~AMANgR TX '!6366 SAIIOCR p DICK UQWDEN DICK 11/13/74 'W/23/fi! 95,60 2,01 115D1 tl;{}d}JGGN )?I 1 WE STOATQ R TX 7620! Arran9ementS not kept. 1 hTONESTOATIi TX ~ 76".01 I)N101 I RICKY 7/Jl/£l0 O/01/00 3/25/91 90.00 nnYANTOx 11 a6 102 4103 DRVANT i CAfiOLG NO ros ons8 t0 collection of forts, s, ^ OUX 1546 TX 76201 DAT " aN?ON TX 76201, p ON 1115/00 2/23/01 99.30 201 13732 DRYANT i ERIC URYANT 'CRIC 1I911 SHAWNEE 19 I SHAWNEE TX 76201 NO roS)On$o to collection efforts. 1 UlIJfON TX !b^n01 UUt~N1U1J I h7P.5/43t 27 00 I nIJCK11ANAN ORACY ^n/~ I /80 I 1 1 1066 nUe :KHANAN Lh$L I B I"101 Krftcty 1 I DLN Nt.Rl.Y T;C 76201 DI;NTUN YX 76201 No response to collection efforts, 1 MMw: 1M!, r W I..n Ww,4,.nYa,M'w.~1MMM.' J 1 i DATE :/426/01712:L0IJ MCM0R 1 AL H09P I TAL PACE 4 DAD DCDT ThANSFCR REPORT FOR PERIOD 2/01/01 THRU 2/90/01 ME ~TK FATIENTrNUMDf5R s+t ErJrra PAYIENT 1'~ C +*araaa•»M ~lerarubs GUARANTOR NA +~trrrrar pATi VAR DATE OF OA ANCB Dn. ~ a XP NhMF, AVDR, CITY 'IT' 21P _ _ ADMIT~ED pT0C11ARtlED WRSTEOFF OF ~CCOUNT y,. • wu. C u . I w u u~.+Y -----uu PfX NUt111E MAI1" Ap C I 1;01 a^9000 OIVCVJ4pN ANTHONY 00'MP~NNSVLVANIA + ANTHONY 1/a^^1/81 .^./39/81 79.35 100 1'CHN„YLVANIA CO 80206 DENVER CO 80206 MoVedl loft n0 dddresS. GCI.VCR 103 12301 SLfRCItF~ttLD HOWARD nURHFICLD ifOWARD 57/04/79 12/08/79 2/99/81 90.00 1~1 I e 17 nL{jC . ~CL.C1i((;R !D CAfIlGTi'3V L111TLCP. TX 76240 Or1IiIGS3f4LE 7•; 76240 NO response to collection efforts. I 201 12103 EUNGS RDf>G ntJ+CCS^a JANNIII/T7/79 2/29/81 29. 90 IIO'< !9412 TNU STATION 09 61F(+ItIL. Dn ' J No response to collection efforts, 7X 76201 COIiPU(i VE TX 77777 DGi11'iiN CHIil8T1 ROtJIIIC~ CAItgCiR X 8 L i/S6/DO 2/29/81 PP. 00 yO1 13769 CANDf.R . +t MEAg01V CREEK 910 NF.ADDW CRCK B 1) TX 76249 KNUM TX 76249 No response to Collection efforts, K UM 3b "0" SOk7l CAkIIOI.L4 TCRRY Cff41A(ILt, TCRRYO 10/14/79 2/29/81 . 50 " RT. n :!17 OV IL PUN lit, 4 F!412 QUAIL RUId DGt+TON T;( 76AAG1 tLT(1N 7X 76201 No response to Collection Offorts, JACKIS 4/03/00 2/29/81 32. 60 ' <".Oi bAOI CF+N1'ER , JACK (f( CAi". N I VI ' ilN N RVOOELL ~1: N RUDDELL DCNTON - 7X 76901 dLNTON TX 76210 1 HO-response to collection efforts. 4 :01 14090 ~I;GN Kr)NW1:Tl1 C} CN ~~V9IJNETH 2118100 2/29/81 119, 00 410 KALLihEA0dl1 n9?~ N0 ONALLMCADOIJ ISe..7 TX 76701 D12. TX 762D1 No response to collection efforts. I P LcNraN t 14003 C?kltt0kj 0 CaaRR10AN RONALD 3/19/00 8/?9/61 100100 K NO!S:'~'.0 067 KIN451)000 067 LAKE DALLAS TX 79069 LAKE DALLAS TX 75069 No response to collection efforts, 202 12699 OX 41ISMY COX TiTR APT/OLD n It3JIMMY 3/04/t30 2/29/6( 998, 60 4 L11 IIR APT/OLD D N3 OK 70033 buNCAN ON 73933 No response to collection efforts. OVNCAN 32.90 f 1/26/80 9/39/Ol PIALTCN JIMMY 267 9040 DAt,1'(1N JUANITA T. +1, VOX 32 tT. n, n0.( 32 TX 76262 NOM4 KE TX 76x2.62 No responso to Collection efforts. RONIOKE gg Ao 1 14663 hVlfJ ALRCR7 I1"1lRDY'LW 0344 r ALOGRT 2/04100 3/26/01 99100 alit 1RDY LIJ 113+14 I11VIN0 T% 79061 ~01140 TX 79041 ,10 response to collection efforts, 1 201 4.•i991 Bew1I~D PAUL 9/aiJ +JDTR PK 014 PAUL 12/".0/80 2/76/al 06,00 AVID TR. Y !A LAlll( pALLA TX 70069 LAK OALLAO TX 79069 MOVOdI loft no eddr@S9. lot 19731 0?0 hDOX 71 DONALD DOUO~AODOX 71 DONALD '3/09/60 0/li/00 2/26/81 1500,90 AftUYL1s ix 76.26 AllGYL TX 76226 Arrangemonts not kept, I I + I I lyLrryYY.,..rwn~ ........~.....~r.rr•miw..w•n++.•...u..r._.r~_.~.~~.~~.~•.n....~...+.✓~.._.._.r•.•.w..w.•rrMll..r.....mru.•..•uYU gyn. W.s. w.n.v ~M" r ,h . i i?A'fC x/;7/81 12: i1q: F L O W M It M 0 R 1 A L H 0 9 P T T A L PAGE 3 DAD DFDT-TRANSFER REPORT FOR PERIOD 2/01/01 THRU 2/20/81 PATIENT NUMB R a'"*40#40 PAJI$NT NAME nnsarruar nonaaous 0UARANTOR NAME acaaeenn DATE DA gg DArE OF DALANr'C I PF'X NVIVC» NAhC,»ADDR, yIrY, ST, IP «NAME,• ADDR,^CITY, T, ZIPS.«..»^y_»«_ +Y ADMITTED D18CH~kORD WRITCOFP OF ACCOUNT 1 . 1.0l 90972 D NCAN DEB" DUI40AN DEBRA 11/16100 2/26191 16. SO ' tiUDDCLL 040 F!04 UDDELL 140 SuNYON TX 76.2.01 DENT~N TX 76201, Also usos name of Ridge to abuso and avoid lot 10133 1u1rppPp , SHPILA EPPS .814CiLA P4Agq;0PQili'espq%A0&g011cct~pftws9rts, 495.30 t)CW1ONLCVELANO TX 76801 10111 CLEVC1.AN0 7X 76201 Unable to locate, i0l 17609 EVANS CHRYSTIE CVANS LINDA I/13/80 52/26/81 35.83 1 t,'s 9CLENr J VANS W` 3CLENC DLI-ItcI TX 76:01 DCNTUN TX 76201 No response to colter,tion efforts, i 104 17111 FAMIM R OAAND014 P'AR11PR , 1'.ENNCTH 6/20/80 6122/00 2/26/61 2299.50 i P 0 10X 901 r 0, Hex DOI OENT N TX 76201 DENTON TX 76201 Arrangements not kept. 105 17111 pARM(?R , DRANDON FAIrM5I KENNETH 9/04/80 9/0'''9'/26/81 80.00 i P 0 I;Ux 501 P 0 ~1OX 501 DENTOrl TX 76201 DkNT411 7x 76101 Arrangements not..kopt. 2 3461 FFAfNIVA , CHAVNTAC PAAHCg KENNETH 9/07/80 2/26/01 f26.30 o rr pp i 1 AN 901 TX 76201 UE~i1J7UIJ $01 ; ~ DR TX 761201 Arrangements not kept, 104 3461 FAAOM~C~77AAg , CHAUNTAW FARM'~~ER KENNETH 4/13/79 9/19/79 ./26/01 1337.95 RIJ N 801 TX 76201 DM004 Sol YX 76201 Arrangements not kept, I 105 3461 FAR 1 R CHAVNTAF. F'hP,MER , KCN?ICTH 50/24/74 f0/5G/74 2/26/01 705, 65 Ppp 1~~J X 801 964"N' 501 DEN QN YX 76201 TX 76201 Arrangements not kept, i 107 0461 pFOARtlMr~ehRk got CHAUNTAC FAARMMCEA Vol , KENNETH 11/03/74 11/04/74 2/!36/91 485, 'J9 DENT6N 7X 76201 DHNrON TX 76,101 Arrangemonts not kept. 102 1896 FARMS 8HAWNA PW:Eqp KENNETH 4/29/80 2/26/01 2221,40 pkNTONOx $01 TX 76201 pp 0 20X501 DIf: ol-I TX 76201 ArrYangem8nte not kept, 201 13585 F RLD R , TOMHY rIELD R T011MY I/10/00 2/26/al 44.00 R t ~OX lob-A ~sOX 106 A POND I TX 76254 OWER TX 76209 No response to colleCtion efforts, 101 10741 pPp1NK nngg i FLORENCE SrfINS( qqgg , PRC:D 10/21/79 11/06/74 2/26/01 604,71 WOL" I pFDClTY43 TX 75446 1JOLr1CI7p YA3 7X 75446 Balance after insurances no response, fr1 8940 PgR~nH NS[ , PARVIZ FQROHAN PARVIY 9/04/79' 9/06/79 2/26/61 100,60 ~ AA 03-A Tx 76201 ~ 914 ~AK 034 TX 76201 ; 00 response to Collodtion efforts, , - !Mw!~fMfw.RwwVq wrwpwaw t E 7 , 1 i t . II M 1 R•fY/(4r"~/ . i,.. .iii w... D DATE 2/26/81 17.10 PLOW M5 M0A I AL HOOP I T A L PAGE 6 A DAD DEPT TRAr19PER REPORT FOR PERIOD 2/01/01 THRU 22/200g/81 pp gg qqrr,gg C ?r,rIENT MV R •xraaxarea PAT cr+T NAIIE araaara a anaaaaaa GUARANTOR NAME aarararM ADID1S77CD ,D16CQAROED WRIYEOFF DPDAACC9VNT - FFX NUISDDcEk NAME rAODR, C~TY^ 5T rZa1P rNA--ADipp.Ry-CITY, -tlT-_X1F«,.«»««w«»«»«« ' 109 1731 FpOp~TF.R y A I«JAWA ;+C473RRUDDF'LL k89 ' JA14A 2/21/00 2/22/80 "'W26/31 4149, 90 UCNTONiuDGELL 989 TX 76201• DENT IJ TX 76201 Arrangements not kept, 4/08l00 4/08/90 2/26/91 240.49` 106 1731 F4 TE'R JANA FOSTER JIM 3Q fWODELL 1189 3Q4 VN RVDDCLL 909 DFNIUN TX 76PO1 DIaNT TX 16221 Arrangements not kept, 9 1/07/00 4/13/80 2/26/81 10(8.70 107 1731 FU91CR JA1JA x3301?',, RUDDCLL 989 , JIM 304 RVD08LL 909 , UlENT151J TX 76201 Arrangements not kept. ULNTgN 78 • 76iOt 100 1731 P88%1 JANA K 10 T ~RUODCLL It8J' JIMMY 9/02/00 9/1"2/80 2/26/81 2436.40 3 all RUDOCS.L- 939 Qp TX 76701 Arrangements not kept ` 0 NT6N TX 76201 ~EINTOfI $39 70 ,i 109 1731 PO+.~I'll JANA K I Jimmy 9/04/00 7/06/80 2/q .6/81 3q RUDORL 969 tp-1TIlDDELL IIGD Tx 76.2 Arrangements g DE 14 TX 76e01 DLNION not kept, 110 1731 F ''(TER I JANA K JIMMY 10/09/80 10/14/80 2/26/81 1478.69 R' E HICKORY 999 1;:0035 HICKORY 989 141 ON TX 76201 DIINT 7% 76201 Arrangements not kepi. 2/2b/8l 39. 79 "09 17"31 piS)rf.R JANA K POUTCR , JIMMY 12/14/80 ` 3 II RUDDE'Lt. 1189 304 4. RVDDELL 1189 0 CN1 N TX 76201 Df1NTON TX 76201 Arrangoments not kept. 11 6/81 6.^71.90 CQ&%R JIMMY 4/21/00 b/04/00 2/2 142 16702 POaTJ.Ed4Y JP: RVDDCLL n89 ' 30'1 , lIVUDLLL H9 ,9 TX 76.".01 D 0 1UNTUN 7X 76201 Arrangements not kept. D IE I,I f ~1N t 1 104 16792 F08 TER JIMMY JA P08T•R JIMMY 1l/7G/dU 11 /k'9/00 9/26/81 969. b9 104 !iN RUDDELL 1105 TX 761901 OG '30'1NT ~NvDOSLL 909 7x 76201 Arran$@medtt not keptI UN1' lot 14099 R SYR`'0% G40•C WANDA POITIUDOLLL HAROLD 5/24/00 2/29!81 b0. 90 ~i 91 RWON x 76201 OGNTOIN TX 76201 No response to collection efforts. ,I uu JOHN 11/i?!%9 11/17/79 2/20/el 67. 90 10t 11 949 FOUST re OHIJ UOGbi CfJ7 16TH BTn tT. Poe., ILJT I/ sTH STR{t67 Tx 79079 PLANU : TX 79079. Balance after insurancel no rosppnse. 1 LAIU7 2/26/01 36, 50 ' 202 8189 Fn~psAl4V1.1N PATSY FRsADNCL114 ' PATSY 2/18/80 i ISGNTDUNCAN TX 76201 DL~NTON Tx 7620t No response to collection efforts. 712 131 2362.6 OARCf, DCDRA BALA+ , PATRICK 10/17/80 10/19/00 - 2/29!81 .00 gg qq CIS) 0 OT £j 1,4T(UN t03Lr 8T TX 76201 TX 76901 No response to colltctlon efforts. i D~NTON ` LN I i 1 -e y DATS s^./.6/01 L2:40: F L 0 14 M C M 0 R I A L 11 O 5 P I T A L PACE 7 J. DAD DCDT TRANOF0 REPORT FOR PrRIOD 2/01101 T11RU n12(1/01 PATSCNT IIUMI'CR +v444a441 PAr'if~T JANE ananxnad aena~ana 0 RANTOR NAME aaaaaaar DATE DAT OATO OF DA API E PPX NUi1U4~ NAME, ADDn, cC T, IIP NhHC, ADDR. CITY, T, 2IV A77 MITT ED DISCHAfitlCD WRITCOf F pF»_~CC~UNT 211 14562 QARC~A PATTY Oh CC , RAY 2/06/00 2/29/f) 1 33•99 814 AMPOGLL, tl CNTOt+ AMPBELL TX 76M 2 OLIJTUN Tx 76BOf t)01 No response to CO11CCtfOn efforts. 201 22630 ORANT ORCO GRANT CRLO 10/05/80 2/20/81 x71,50 ~+T 1 IF 05»5 RT 1 t10X 614-5 ROANCA TX 76262, ROANOKE TX 762262 No rosponso to collection efforts. 203 10420 On(iVN CA65TC OREEN CAGOIC 11/00/00 2/25181 171.50 ; P, U.COx 471 f? O DOX =171 TX 76266 aAIJOEk TX 76266 No raSponse to collection efforts, i SANtl ORirFitl RAVE LO/: ?6/00 10/:0/00 2/2J/01 " 621. 00 ti1697 DRifI~1N RAVC 101 2 0^9 PARK LANs h DENTON , TX 76'201 ~^LI9 NTON PARK LANG T% 76201 Arrangements not kept, ^.0I $063 OVtitAVOJ~ , KIAK 00TAFOON , KIRK 0/12/00 21;f5181- 196.50 y0I6 WIL 1AI113URO 1(1~6 WILLIAM14SURQ TX 79074 No response to COllaCtf00 efforts, f~LhNO T% 75074 PL NO lot 19940 H?,e)C lANN 300 HAGEMANN RODBRT 7/12/00 ^2[116/91 44.40 12041 ALlte t0U3 Al-ICE , DfS14TON TX 76201 ULNTON TX 76201 No response to collection efforts.. RN11 CHAALS$ 8/31/80 9/O4/fi0 2/35/31 €661,lD 142 4919 ~AqLTCRMAN , CHARL0 9/L4ENMiQL1VAR N. DOLIIAR fOMtS. h1 ON TX 76201 dENTON T% 76205 NO r@Sp00s6 t0 C0110Cti0n @f 4101 11949 HAnDAWAV TERRY HAngAWAY TERRY 11/2::/79 2/26/81 40.10 iry1% I.ATT1t10Rg lit LATTIMORE D$IJTpN TX 76201 DL•'NTON TX 76201 Used to be atir& 101 17099 HARPO C DODDIE HARPOLE DDDDItt' 6/16/80 6/20/00 2/26/g1 1.123,60 i 350, MCKIW\'KV IU02 C MCKINNEY UEN p' TX 76201 NENTON TX 76201 No response to NO app, r 201 13398 HaAR9jdYLB 86N . JAYSON HHAAaARI $p$ OWRI4 1/05/90 2/26/91 37.20 Up TX 76228 Alt M TX 76226 Used to be at TWA Ap 0 19042 HAR 4ggON , TAMHIE HART[ 01 TAMMIS 7/22/80 2/26/91 453.25 l00~. 5TH ff``r ~t 5TH 9T, SJ1JUEh TX 76266 OANOIC TX 76266 No r0ponSe to 001160ti@n efforts. j 201 10932 HQRW DWAYNE ~{qRIJrF'4 DWAYNE 10/93/71 2/26/81 7t. 50 VV UO " JUST N2 TX 76247 JU' ~TIN TX 76747 Used to be at TWA. 201 19349 EFFR MICHAEL H FFR N MICHAEL 5/27180 2/.26/91 32, do I ~y q L $ q , MN1 H TX 76113 F X WORTH TX 76113 No response to collection efforts. 1 K 1 1 r V OAiE 2/26/8S 12: 4G' r L U W 11 A M 0 R I A L H 0 9 P I T A L.I` ..^PAf?C 9 DAD.DEBT TRANSFBR,REPORT FOR PERIOD 8/01/£11 'rHRV 2/m/81 LAWCe i F'A IENT fl1.',1CER earaonan+PATIENT _11gqME^*aapY4MaM nwa+FllaalOVAAANTdRrNAME~*YMM~aY• DAT[i-` 'YDATE WRI Copp F-l1AACCOU P X NVI.O R NAMC, ADaR, CITY, 9T, Zip NAME, ADUR, CITY, 6T, YIP ADMITTED D18CH.R0ED WR»EO-- O wCCOUNT -----------------FREYD?UN 7110/0 cOL 19067 BOTQfgAAPT, 8904 LOVI XtlUN76201 0~ 80AAPT. 010 ebb' '76201 No response t0 C0118Cti0n efforts. 6/8i 47, 00 U N [ SO1 4905 F,iEINlRYO.AVE D , CECIL LJIC•NR , CECIL 5/23/79 9/23/79 2/26/81 805.00 /13DDu NM 88240 8 }6000,AVE S NM 89240 No response to collection efforts, 201 9900 ENRY JOIINN19 FICNRY BARBARA 9128/79 2/26/81 33,00 811 a0. AYC 0 316 0. AVR. 0 HODUgs NM 80240 X0 p NM 99240 "N0'resp0nse to 0110ction efforts, 202 9900 HENRY , JOHNNIZ 1$ NAY , BARBARA' 2/x71/80 2/26/81 L63.3O 31S "0 AVE D 311 Sh,AVE. B HpOp~ NM 88240 HUBDS NM 88240 No response to Collection efforts. 201 9e30 HEROD ELNORA HERO!) , ELNORA 9/26/79 2/26/91 AZ 25 ^l BOARD WALK fe:.^1 MIN WALK p9NTON T% 76201 V~NT N TX- 76301 Used t0 be at TWA, SOg 4L53 H1 L•,^Af! REUEL Hqtt3Ltf(:F~OAIJ REUEL 4/06/00 4/26/80 2/226/81 '7'64.00 ANT 114 Tx 762201 DENT UN TX 76801 No response to collection efforts, 1 11939 H o,1TL! MICHARL H[OULNB RONALD Lt/2Z/79 2/36/81 11x,25 210 "~41 AIRVIE14 Y..1 ONO rA1RVLEW TX 75074 Used to be at 7WA PLANO TX 75074 P A 201 12669 H1000 , KEITH H100 RICKY 12/14/79 2/26/81 45,45 i 66pp,f UVN VALLEY 6 S RUN VALLEY j UtiNTUN TX 76201 D~IJTUN TX 76201 Bankruptcy, 201 20139 H140g , RICKY HfC48 RICKY 7/17/80 2/26/81 72.90 8q J 'UN VALLEY I pp5180N VALLEY 4NAN TX 76ZOL I1CN' N TX 76201 Bankruptcy, 202 $6139 H~ 0 RICKY H[OOS , RICKY 1.Z/OZ/80 2/86181 36. g0 ~ VALLEY ) 6 VALLEY 6UN OUN HwrWi TX 76201 u6NTUN - Tx 76201 Bankruptcy, 201 9960 H LL RADY HtL~ DOx 43-D o ALLA 9/30/79 8/26/81 38.50 i, AQx 430 TX .76227 AUBREY TX 76827 VARY Used 1.0 b@ at TWA, 202 9960 IIII.L d , RANDY R~l'`L` Dpk 43~D ALLA 4/17/80 21/26/81 60 50 r AUD~i1 ~tlx 43^D TX 76227 AVDRBY TX 76227 Used to be it TWA, 101 1.9594 Hi LLIAft ' , KARdN H~I.L AR CHARLRB 7/0t/80 7/09/80 2/26/81 1619,70 GG'1 VV.AGGHINO ! ~EI H1140 p Nft1N TX 76201 HNIDN TX 76^2101 No rosponse to collection efforts, '1~rn+M~f11+~TI~M!1!Id'h, M..~ .....y,r.*~,A1+..mw...+.r+fT.q+4»•,w^y,•~,...., ~,r,.M•Iw1.I;yu .ia ,,...y.,,~~ . ~ { `js• 64 f ° ,,,nom J\ y r yy.rr ,11'P•>~,M {I;;iGAoLWi.c+dR7'iar`11~"ifi AIM PAO$ g Lh4Ci a/w^b/qf 171 NOt F L 0 W 11 Q M O R I A L H O$ P I T A L BAD DEBT TRAN6fER REPORT FOR PERIOD 2/01/01 THRU 2/20/01 BALANCE 40444404 DATE DATE ppqq tltlF OF ACCOUNT PATIENT N41-MR-R ~4,1444444 PAlrrIT«NAMC 4444x4444 4w4sar4*GVARANTORMNAMEr+r«_«. A0I1tT1'RC g16CHAR0ED WIt10GOp(r pp TTII NF'X N'JMDE NAME, ADDR, CITY, 9T, ZIP NAME, ADOR.~CITY, $T, ZIP ` « « HILITSB 11ELI t9A 10/21/74 10/.17/79 2/26/gl 40, 20 101 l0%40 fNf~~ I.~t pp „ 11QLIt33A RT 4,DGX Voo n Usod to be at TWA, pAl1~Lhktg00 TX 76240 OAINuBVSLLE TX %6240 n 37.20 HODOQO WILLIAM 17/04/79 V26/01 ^,01 10164 HODO'ES CRYSTAL PT D 4!1N LAKES n USCd to b0 at TWA, Dc 1 7W1P1 LAKQ6 TX , 76201 eb, b0 DCIJ UN fX %4201 DLNTOI4 11/11/74 2/26/91 HOLLOWAI' JOA14N ^01 115?6 310111JUR tlOX 131 JOA14N RT , DOX 131 TX 76259 No rosponso to collection efforts. PUIJUEI2 TX 76264 PUt40 R 5/16/60 2/26/61 47,00 ' DIRK H~10Mc T JANICE R 201 174136 H01JI~UR9 1 SU t1cCORMSCK 7X 76201 Nuvodl left no eddress. 1l117. PE~iK TX 76201 DL14TON GENTUN TOI1 1/26/30 2/26/71 41.26 H PWOOD $.O1 54128 HT. L V DR IAN S . Cpp14NER8 MO 63121 Used to be at TWA, 0 cbNPIER$ MO 69121 6T. LOU1$ 07,~ LtlU16 1 JOIlt4 E t4/Ob/q0 9/11/00 2/25/95 672, S9 1 TER49A 140R~ON f 101 x0'766 811111 470 AQ X 490 TX 762.14, NO response to colloction efforts. k UM 7:t 76244 HUM orts,-1 39,75 3~UBKIN9 pD411N 7/11/00 i0f 19433 "AidIROSELAWN DR ' LORI r.g14 ROSELAWN DR T% 76:01 Movedi left no address, UNTGtJ WX 76201 D5NTG14 2/eg/PL 74, 75 HT'WARO 1 DEBORAH 11/16/74 20l 11793, g }RDO% 31 44EIJNQTH T TX 76201 nQhITONO% 31 T% 7GII Used to be at TWA, g2, 00 1{14 UN DEBORAH $/02/00 2/25/61 , KENNQTH HRTQWAt4D 802 11743 rHr NTON X 3t 4 N 31 TX 76201 No response to collection efforts, p NTON 7X 76261 DEWAR0 3/10/00 0/1'1/110 2/25/61 194.40 41AR0 TONY RENDA 1lffOrt9, Son LARD R e t0 0011001 D nse %8 15 76266 re4 0 . '101 ~~L~f7 PtlIP1T TX . 76256 p~L(~T PgINT TX NO P 42r 60 , DON 1/26/80 2/2g/61 ROY- H❑❑T'WARSD 701 14178 t 41ARD DOX 564 T/ 76266. bANOfiEt RO% 564 T%' 76:66 UsDd t0 b0 at 1WA. AFi0LI4 %/"26/60 9/25/01 90, so MELS1''DA 3QORN LINDA 201 20404 sHs10~~I'NOTHS102 DR 001, 5f•` TX 75066 No responso to collodion offorts.. CAfSROLLiUN T% 70006' LITfiLE &L47 j tn1 tflN,,rg I CHARLCNQ 9/l4/RO 0/iD/OO a/x5/91 13400 I tG2 16231 1rICE VSLLAUQ Etd1TI Dg1V xH10"~6201 DfiNTONILLADe EAaT N102TX 76201 No rosponse to Collection offortsl ~ pG~NttlN } `.r_.I .ra.w4rTl,~M,h•~W.,•'plM~rw.w+•M,rMFrwirw. w.+1 wK.,i 'AAn I.!'IINR.IThl7A~1'1~~Mr'NwM ~ u r✓ r 1 , r I I 1 w4Y'L+M.i4lYiJLiYtl8N~~4LM~W~:` _ .aar•~ ` Jw~.^i - gA7C R/26/01 121 40: F L 0 W 14 E M D R I A L H D S N I T A L PAGE l0 A DAD DZUT TRANOFVR REPORT FOR PCRIUO 2/01/01 THRV 2/20/91 PATIENT NUMCER x#a.r###a# PATIENT NAME ".e#x##~## 01gqRANT OR NAME DATI DATE DAT~ PF DALANC' PFX NUMDER NAME4 AM, CITY, 9T, ZIP NAMC, ADDn, CITY, T, r. r ACMIT CD 018E AROEO WR C0 F OP ACCOUNT 202 11792 00RAM JANCT INORpAM , JANET 6/27/00 2/25/81 ;14,75 PO 80,4. 451 TX 76. nG6 UN PON CUX CR 491 TX 76.3AN No response to collection efforts, n62. 1 5276 IRUKA NINNIC IRVKA , ALPHO 9/29/79 2/25/81 641.00 RQU BRADLEY N23 ROD NpADI.EY 01,^3 ENTON TX 76201 4NTUI TX 76201 No response t0 CO11QCtlon efforts, 102 6751 JArrB$ON , ELIiADCSH JACKSON TIMOTHY 2/23/80 :/20/O0 20/81 129.59 gh•R ROUTE BOX 6U S3TAR ROUTC 9M 65 GAWYCR OK 74756 SAWYGR OR 74756 No response to Collection efforts. lot 19321 JACKV,GN HARDY JACKSON NARDY 6/22/00 2/20/91 39,95 DENTUILITTII TX 74201 LCNTOFITTIE TX 76201 No response to ~:ollectlon efforts, a 101 17314 JAt1VGG OGTTIH JgAqRUC•,C DETTIE( 5/00/00 5/12/00 2/29/81 07.$0 LFWLGVILL~COC N7Gb. TX 75067 4L' H':SVILLS00C Ar.09, TX 7!,067 No response to collection efforts. y ?01 20'024 001.1: WILLIAM JDOC WILLIAM 7/73/80 2125101 92.00 DLIJ1'UNELL IIIlS TX 76201 UL YUNELL 11395 TX 76201 No response to C0110Cti0A efforts. 202 14904 J01IN(8 61 CHERYL ~OHNOON CHERYL 0/09/00 2/20/81 Sun.50 ~''1 CAMAJAY ..009°0 ORUNWAY DL'•N9ry1 TC14 TX 74201 DE14TO14 TX 76201 No response to collection efforts, l 201 190th 01'.N80N ERNERT JOHN !ON CRNE9T 6/14/00 2/25/Bt 22.00 S19 1141TH n19 519 L`M1TH 1019 ` URNTUIJ TX 76201 DENTON TX 76'201 No response to collection efforts. IE irl (04190 JOl•r'W3'iNN/ G(~ CUUTINM JOHN•ON% b qq JOHN R 6/11/80 6/17/90 2/29/e1 21.00 N24CIIf~l~OSNT TX 761250 fP1LU 0p01~Y YX 76250 No response to ColleCtion efforts, 201 26146 rJ! HNDt~I~ 87EPHCN AiIERNATHY VICKI 7/ l0/90 2/25/81 Oa. 50 " O ,JYd14 9LYR DO ,N TX 71,201 DENTONy BLVn a0M8 TX 76201 No respanso to collection efforts. I Q 201 20093 44400E.6 A DERNIECR JONC.3 r MARION D 7/16/U0 lei/25/at 03 OO 0 ywfl I.G TX , 76226 ARIYLG TX 7622.5 No response to collection, efforts, I 201 27960 , JO~NCsy ')CNNID ~jOOpNCB77 DCNN19 5/16/80 5/19/00 2/'25/81 93,60 n I O l~Illa"rl3 69CGINO ST TX 75034 Ftt[eCU3 $FC~" OT TX 73034 NO response to balance after InsUrencO, i 101 .0424 ~M00115gyt~,qq rr Wit" J~O~11N t lrryy ppr OHARON 7/Q7/OD 7130/00 2/M at 601,95 i LCW~SVILDL~ 3 TX 75067 iCNI£JVILN; O TX ' 79067 NOW; left 010 address. qv.Vjo tip po,1014 is 4,7 9%1'' 0' 1 3 a i { WL1►'1+4~w4W'v►LYJ+k~Ytfl~ll'ayileAllaJd"YIY610.~~:.wJS....mis .ib! JA1LIi4disIJMr.w....... „ .S 1 atu OL 12. dv: F L b ii M E M 0 I A L H 0 1 P I T A L PAOE 11 4 DAD DEBT TRANSFER REPORT FOR PCRIOD 2/01/41 THRU 2/23/81 aTIENY NUMO (t 0*4*440*4PATJ~NT NAME **0*044*0 *4»**014n OUARAN QA NAME *a*n**** DATE DAY' DATE OF BALANC5 1+Fx Numor NAME, ADDR, C V, ST, 2If' NAME, ADDTI, CITY, 8T, Z N' ADMITTED DIPCHA OED Wq'ATEOFF OF' ACCD 1JT 202 16364 fgNpC!.11f RICKY JONC9 MARVIN 4/13/90 2/29/01 15. SO DGNTON 10,13 TX 76201 VuNtIUN 1O/j3 TX 76201 No response to collection offorts.• . 203 10319 pt"Ca SARA JONE3 SARA 7/16/00 2/25/01 130,50 r NOX 504 P.+~ OOX 904 LAKG DALLAS 'r'X 75065 LA f DALLAS TX 750 5 No response to collection efforts, 201 220343 O SAUNDRA JON23 SAUNDRA 7/24/80 21251A1 69.50 NESW OAK 170'2 W OAK ~WTON TX 760201 DEN1'014 rx 76201 'No response to collection efforts. 201 17730 JUAREI T)RLGN„ ~jjUARIFZ LINDA 9/07/80 2/20/131 103.00 1 RT q UO% eti0^. ACORIJ RANCH kT DOX 2102 ACORN RANCH DENTON TX 762201 DCNIDN TX 76201 NO response to collection efforts, 103 2090 K~{{AYS LINDA KAYO JOWE 4/11/00 ' 2/,26/81 203.79 1 i YlL00 DINT TX 76250 PLLOTO614T YX 76f2D0 No response to c01lacti0A efforts. 101 1.4.366 KEhIrEn , tiILES KCPFCR , LINDSAY 12/04/79 12/06/79 2/26/D1 100.00 DENTUNTOfI TX 76201 0>R14TO 1702 TX 76201 No response t0 collection efforts. { 20f 20241 I, 6Cp OWAN AW 9T. 75067 L WSSpVS LLE MITX 7$067 Moeed;8lef no address, 2/26/01 .09 1 f.. 11 91 8WAN.6BY' VtRT,KNIA 54 4 101 16311 K LOGY BLANCHE K``FqLACY DILL 3/27/DO 4/11/00 2/t26/D1 353.00 1FV11JIOINDY LN TX 75060 IRVIIJO RJDY LN TX 75060 No response t0 Collection efforts. 1 201 15273 IKEN p , J61yNIPER KENT pp pp i OINARLtS 2/26/80 R/26/91 29.00 IN IOJARK5LEY 7x 77059 HOUtD3TONARKSLSY •x 77059 No response to collection efforts, r 201 20907 R41N - VIROINIA K RL1N OLENDA 0/10/00 2/26/81 30.".,5 3 N EIOW 341 N {.AKtWWOtlb tt LAKyy LAKt! DALLAS TX 70065 L Kti DALLA6 TX 79069 NO response t0 collection efforts, f 101 16955 KIANPOUR , FARAMAIIZ %ANPOVR PARAMAR2 4/12/80 4/16/00 2/26/81 246,20 P A'JL P 424A "1.0 AVCi P N2A bBNI'1N TX' 76901 BUNTON TX 76201 No response to c01lection efforts, { 101 20210 €r109LIl , BARDAIA KKg`I`MBELL , JOHN 7/:0/80 7/21/00 2/26/01 '511.25 &NY NhLY Rb TX 76201 UCNY~N'EY RD TX 762101 ' gg,I pp No raspons@ to collection efforts, t 76201 D4 TOA14ARD 0108 CHT% saTtl~Gli o` 7/22/90 2/26/81 G4, 50, ff 24l 20."90 NO~WAR0 Mtoo ONRFxftlp E Movedi left,no address. + Y,..un1Y, ur+wf\ or. M.rvn w... ~ I 1 f , . r G I'C 2/26/01 12:41: FLOW HEM0R I AL HO9P 1 T A L PA01I 12 A BAD DRUT TRANSFER RCPORT FOR PERIOD 2/01/91 THnU 2/28/01. P!.T 1ENT lIUM3RR Nra#aNaa# PA•~ lgNT NAA11t? NNaaaa### NNN#NtN# OUARA 7TOR NAM #N#NN#N# DAYgg DATL AATgg OF DALANCg FFX NVMDER NAME, ADDR, C17Y, STf ZIP NAME.'i ADM CITY, ST, ~IP ADMITCHARGED WRITEOFF OF ACCOUNT V Y a 4 24 PRANK a^/tD/DO ti/$6/Dl 68,90 201 14070 K~DAT FRANK ,UDDA~ h LAKE DALLAS TX 70065 LAKE DALLAS TX 75065 No response to C011ection efforts, 202 2169 LA001E ERWCSTINE LA~01~ ERNEST INN 7/10/80 0/26/81 2G. 00 uEDO ROAD 1 , W 00 ROAD g U NTON TX ' 76201 DUN1D TX 76201 NO rOSpOnSO t0 C011OOtion efforts. 101 14910 hANTRIP , HELEN ANTRIP MICHAEL 2/iB/I10, 2/19/80 ^2/26/81 82.13 1 7 BOX 10AA AU DOX lOAk AUDRtiY TX 76227 AUUAEY T% 76287 NO response t0 Collection eff0Y1;S, 203 10264 LLAaRntlX g3 , OWEN LOApRAnXY 33 OWN 6/01/90 0/26/81 2227.10 OILLST2 WY DR716 OILED.&[ " WY 92716 MoVed1 lift no addr0k9. 202 7834 ARSON FRANK LARSON , PRANK 3/25/80 ' 2/x6/91 313.76 T ppOX 99-A RT 1 OX SOA No res onse to C011OCtI0n efforts. D ONII;R TX 76259 I+ONDER T% 76209 P 201 9404 LAf:AT R RODIN AOATER 1 RODIN 1/01/80 2126/01 394.20 uo lfON NOOr+GEARti' N1d1R TX 76201 • D?O L NTON NDONDEnRY 11212 1•X 76201 DENIO No response to collection efforts. fl 404 6264 LAW S R 9 S7 LOYD AW S p 5 87 LOYD 3/07/00 2/26/91 1631.07 flLA1NVILW TX 79072 PLAINVICW TX 79072 Moyodl left no address. 101 19703 CCA CARYL LVAR JSnRY 7/04/00 7/07/[!0 2/2++/S1 977.10 I yer~ 1AM 243 MS' 1300 SAM BASS "D D DENTON TX 76201 D$NTON TX 76201 NO response to Collection efforts, 202 4057 LEE KIM hLre , JAMES 0/30/00 9'/.".6/81 31.30 Tr nOX 10 R7 4, DO% l3 A A14OKM TX 76267 MANUKB TX 76262 NO P@Sponse to Collection efforts, ! k 701 17091 ~EPI.tROX 104 ' A009AT Iti19goX 104 ROSERf 9/00/00 2/26/01 389.09 j pp IYY I DEJO7J TX 76201 OEN OW T% 76201 MOVedi left no address, E 201 10060 LC HAM CLARGNCE D/10/90 0/26/81 29.00 L1NDSCY DLH~ON TX 76001 No response to collection efforts, 201 11072 0;9I tt~~ggaaROIA AVE. ' HUOGRT 1' fi ~j r~I$ SROM AVE. , HUO9RT 6124/00 0/96/81 94.75 AIiUURU NO 27006 N0 3 NO 27906 No response to collection efforts. 101 6059 LEW1~ "ER 0"8 LEWIt JSROMI; 0/01/SO b/13/90 2/96/81 3937.65 j ! ``V3 sr1EPATON PLACk 8S05 11F•RATON PLACE' C< NTON TX 76201 NU1106N TX 76201 No response to Collection efforts, 1. gnyMM1NYl~M,~M1~MMl~!4M`.......yrMMrwryewnw+w•.y.. (Mi., L f ..~,e,..,..,„w..+i.......•............- ...._...._...._.n......~_....•.s.....w•.....~..«.....Iw....r..«w+a.~..~.«w«. wYrp~ 'r""~ i f i 7 l ao**u**n I DAiE w'/e6/01 1'9:411 FL OW MEMO R I AL HOER I T AL PAGE 13 e DAD DGDT TnA smt nGPORT FOR PERIOD 2/01/01 THRU 2/20/01 Q i FIATIC..NT NUM05R ***!4**** PACI'rrtt NT NAME *a******* aa*ruua* Ctl RhZrP NAME * ADMITTED DISCHARGED WR17GORK OFDAACCIIUNT PPX NUMDE NAME. /iDOfi. TY. ST. ZIP. NAME) ADOR.«CiTY,»&~ »[P~.... I~ 202 11693 084ran i KIT LID3TRR CHARlEB 6/09/00 2/2001 40.75 ffM 9 DC TLllda RD 15%~9 D51.TLIN6 R0 CARItOLLON TX 79065 ChftltULLTON TX 73065 Moved; left no address. 1 201 10991 LJPBi OM0 JOHIJ LICPS OAlD4DL'Ri EDDIG b/OJ/UO x^/23/01 50.50 b{~ 'HAMDER9 1 DEtJrOtJ7 1x 76201 D Nr01J 7X 76201 NO response t0 N4'app. 201 15662 LOGkt.iC CLIFTON gfKALIEGN CLIFTON 3/07/00 2/26/81 10,50 pp91 l.LLCN St TX 76201 No response t0 Collootion efforts. 1 ty~WOtI TX 76201 UL'NroIJ JAMES LONG DAROAIIA 7/20/00 2/:5/01 34.50 ",01 &2x33 LUNG J29 R7 3 BOX Jig n7 3 DOX Jdq tlLNE'r TX 76374 OLNEY TX 76374 No respOA0 to C6116C00n efforts., lot 1E070 OOt~ID PATRICIA LOOMIS JAMES 3111/00 5/22/00 2/25/01 147.00 ~AY. HAVEIJ GOTATC R2 LnxlIi RAVEN E9TA'iG 012 No response to C011eCtI0n efforts, LAKR DALLAD TX 75065 LAKC DALLAO TX 70065 1 i lot 16731 LOPIZ 1NF F LOPRI 719 FRCDDY R 4/00/00 6/05/04 2/135/81 14903.80 T~ ULL OR 73669 ii ALILL OR 73661 No response to HD app. MULL 719 Olt j 102 7,725 tONODP MICHACL LORDrF~ CNTHIA 7/x0/79 7/20/79 023/91 230.00 k ~RDUOV~ NM 07374 TCOUOUE NM 07574 No response to collection efforts, ' 1 119001E 1019 DEN 6/03/60 2/20/01 11,50 k 201 18+05 L11q S gOGUI1a4 LK 1017 THOMAS DLNrON TX 76201 DENTON TX 76201 No response to collection efforts. ~p 2/25/81 209.45 7/27/00 MARTY MARTY 201 20410 1O'G L VE , 1. RFD t/4204 STVARr Rf'D50204 STUART 1 , UGIJ1 N TX 76201 DENTON TX 76201 Moved$ loft no address, ! 201 19901 1~~.jg~A8y~ C i VAN Lu~oieaAAq9 gg cC VAIJ 7/11/80 2/25/01 68.50 FL 92741 Ktt191nNTNGH FL 32741 Moved! left no AddrASS. i K E4.tl1MM8HN Dn DR y nn h/:O/DO 2/25!01 13. 50 202 '0310 ~+nRVFNpftAlRlL DAVID > UUUVPN~1 IRIS DAVID ' 61INTON TX 762201 MTC1N RA TX 76801 llovedl loft no address. 1 UN 12/09/79 249 11742 L~N3F HDY OR #306 D0N7X 96136 1 p 7HtlY OR 0306 Rtl7Xp 76135 Cancelled at TWA. 2/20/81 34'00' t 4/25/81 127.05 , 201 17316 COLO YNCH ST6VG t,YHAV&RY STEVE 4/:7/00 N 7X 75067 No reSpOASO to C011OCtiom efforts. 2 NYVERY CIRCLE E TX 79067 L CIRCLG ' i 1 r k I i J • i~`i r 1 1 r'Att; 2126/HJ l2. 4I F L 0 W M C M 0 R 1 A'. H 0 U P I T A L PAOI: 14 DAD DEUT TRANSFER REPORT POR PERIOD 2/01/01 THRU 2/80101 E pp bb PfrErJ7I'lk HR NAML', ADOgrA0 TY, 3T.1E2IP40NAMGp ADDR, C1tY,OSTRAZIRR NAME ***0**** AUMIT(ID DISCHAROiD WRITEOFP OFSAACCCCOUNT 401 192$9 YN`N` DR1AN `INN , KENTON 6/22/00 2/25/01, 12.50 K6Y POINT TX 76208 KOT1POINT TX 76250 HD response t0 COlldttioll efforts. SOS 19164 10ANOE N901HCTXOA ISTSOTOGR L004NV1222119 J Ta 6/10/00 X 75401 No response t0 collection efforts/D1 ~s4.60 202 10792 MA4f'HUCA HARIA 1OMflHHU81J00C M 7/22/00 2/25/01 02.50 2VONERNARD TX 76201 L N21001 NARO TX 76201 No response to c01lection efforts. lot 12044 MAliFa MARJOn1E MAHER MARJORIE 12/19/79 122/24/79 2/25/01 200,00 pCNrONCII AVE 11,12 TX 76e01 ~i~~M?014 DEL(. AVE #42 TX 76201 NO response to collection efforts. ,..y 02 992.2 MARTIN CHARLOTTE MARTIN , TC% MZR/00 P/20/01. 95.75 I'll ~ox Oil! 10 P, abx sac Gemdt'h T;f 76266 'GANGER T% 76266 No response to collection efforts, IOt 131$3 MARTINOx OQ L U 4/10/0'0 4/26/00 ^2/25/01 33112'3 T. " II_D L V 11T. ARi2IN 40X 00 0 . RANOLII T% 76266 SAWER TX 76266 NO response to collection efforts. 803 '592 MARTIN TOMMY MARTIN , TEX 4/19/00 22/29/01 123.29 RT, PS DOX Dec nT. n. DOX SOC 0AN01!R Tx 76966 GANOF•R Tx 76266 No response to collection efforts, 101 1'3%79 M6RTrrN T014i1Y MARTEN TOMMY 3/10/40 3/12/00 ~/2U/a1 ^.71.75 n tq0 PlriC 10 PINE 1 NWISVILLa TX 75067 LS1.'ltlVILLEI TX 75067 NO response t0 Collection efforts. 101 14935 MAi:l3 Y KYNNDA MApIaAY 02NE 2/05/00 4/07/00 2/25/91 363.00 y kYNEINARO 019 TX 76201 l[SN1'OVPI~AttD k19 TX 76201 No response to collection efforts, ' .i'02 11023 MAT8E04N LINDA MAT11EirON LINDA 4/i2/00 8/2^^5/91 47.90 "!r'^vp..•11 U(NE~jNrRAWECRD TX 76201 NT Ol 4 CRA1dFORD TX 76201 NO response to collection efforts, bG i01 19003 MI'.T1'IIEWS OHARON MMpAAp1.Ttt11(4'CI49 SHARON 6/16/00 2/'29/91 9100 LsWIl~I,'E Xvi1ll l'LV YX 7506% L4 X110%ilirl~ v19^4 Tk 79067 No response t0 Collection efforts. 1 201 10646 tSCCAgTY ELLA MCCARTY 00DOY 6/05/00 2/115/91 52.60 SIR E++ CO LhOQ RpJ Jp' 1014 I 'C LGWlEi1/ILL TX %9067 ~AItRCILI'IOIl 7X 750,06 No response to collection efforts. 801 10172 MCC~.UR< ERIC 1 i~URS WRIC 51"lw00 ./09/01 05,25 lI~.CUACIk 011VS 'Nd 7X 76201 fp QO~JAOLE DRIVE EI4 Tx 76201 ,No response to Collection efforts, 17C .1,; :,SI.YO•sw+•w~.~~.+w.n..•.ww••...•w•w•wwYrwie•~•~a+M•~~.•w r,.rr..Yrw.r1.•..wn.11/MMYn r DATE 2/2h/01 12;41: FLOW MLM0R I AL H 0 8 P I TA1. PAQG IS i - DAD DCbt TRANSFCR REPORT FOR PERIOD a^/01/al THRV 22/VO/01 cc j PATICNT IUI'ppEn wru,4aa•r PAfl9j-jr NAME eaxuaaasn 0.5*xnnaa OVARAr110A NAME R^~~"n~~ ADMIT G0 D1nC}IAn4CD hRIRTGONf OFOAACCQUNT PFX N1~M11ER NAMC, App R,71, 0.r, ZIP NA11E. ADDR, CITY, 9T. 2 P _ -_y•____ _ 201 10107 MCCORMICK JGHN MCqCORMIQK JOHN 5/^0/80 2/20/01 111.00 ~LEiYON01T TX 76201 09 (;0 T TX 76601 No rOSPOnSO t0 COI)Oetion effOr'ts, ION L01 tO929 MCOADE LAURA COADBCOTT LAU^A 6/1</00, 6/SG/80 2/25/81 15. f0 0:1' COTT yy ION TX 76201 DEN 14 TX 76201 No rosponso to collection efforts. 201 20159 mctgra tlONNIfi 14COEC DONNIE 7/10/00 2/29181 111,50 /G ~EIKINNGR 610 ££KINNER n N1 N TX 76201 UENTUN % 760.01, NO rosponso to 2o11ect1on efforts. lot 14008 MCOINLGY , (4'G YN ~ 1400 NLEY CCV(~,LYN 7/12/00 7/17/80 2/2S/8l 839,30 P U~yX 132E WONErl'a 8!1 LO { not DEN ~N 1322 W()MEN 8 BrICl. 96201 NO rosponse to Collection efforts, j DNTUN% 760. R lOl 192MCIiCON CYIdTIIiA MCKn4[1 WINSTON 7/94100 0/01/80 2/25/01 752,90 0 1r Ur11V C n20' 1 N1V E 020' N4ON 7X 76:01 MC19 UNION TX 76201 Arrangements not kept. { 201 20247 1CVF N , SHARI MCKEON SHAR1 7/21/60 '/25/AL 66,75 nT 4 SOX 30 NO response to colleetion efforts. t ogNyoNDO% 30 TX ' 76201 ROANOKE TX 76262 804 1125 MCKINNF.Y SVZANNEI MJAIININEY , 8U2ANNE 5/19/0.0 2/25/81 "20'.30 j BCtI0n efforts. la1TH M12 TX 76201 D5L9NTON VM1TH N12 TX 76801 No response t0 CO11S. N lot 20342 GMAHAI~ r MARK' rI~CK9 , DEORA 7124/80 7/87/80 2/25/81 149.75 3 a 8 X h 2:! jyj2Jr0 T% 762,60 SAW J0 TX 76265 Mov4d1 left no address, 101 10442 H IIA14U COLLIN M MANU~! 4ARSfi 6/04/00 6/08/80 2/20/81 160.04 I, r 9 3W OD MANOR `~I•/ K N01TON 1EIVILLg' TX 75067 ( aVCILL TX 75067 No rosponse to collection efforts. 1 19196 I M~MURnsX .."a . HAYS mjmYR60X 2' ^ 6/20/00 7/23/01 117.80 AUDt~4~Y TX 76227 AUCfi0 TX 76227 No response to C611e00011 efforts. 201 10037 MEJ NEg DAVID MIgAItG8 DAVID 5/10/80 '/2D/01 32.50 t16 JUHNS014 81 1 OOHNSO, ST D6N~ON Tx 76201 Dock TX 76n -401 No response to C011e0tibn efforts. 20L 20338 MIL4IRD0% a^3 BR4NDA MMSSLIXR DAfiNDA 7/24/00 R/'D/81 114.50 RT ` gV~f2 Y TX ' 76266 AUbR6Y8OX 13A TX 76266 No response to collection efforts IOAS. 10614 HfL~Spo% 1^0 , MISTY T~ S00% tgg0 PAM 6/16/00 6/10/80 2/£5/01 943,34 i OA117V. ILLS TX 76'40 AIN&3VILLE T% 76^240 No response to collection effora. G 4 1 A I . wN.+rrw.YwlwLWWw..wi-..r-..~.+. `~~a~~..'.OL►i~+.L'3Jit+~'~Y'"_'_ 44L~VI6'!~+: win_~ Ia.k ~iY~T• . . . . . .1 LATE 1/26/01 it. 41! F L 0 W MGMOR I A L H 0 9 P I T A L PACE 16 A DAD DEBT TRANSM REPORT FOR PERIOD 2/01101 THRU 2/20/01 !•ATSEMY flUMDCR Nn*4I:4*0 n PAT ENI' NAME 10*0*4040 *04*00*0 CUARANn NAME krenax►n DATj 8ATF DATE OF BALANCE f•FX NUMnER I1AM. ADUR. C~TY, ST, XtP NAME, ADD% CITY, 00 Zip ADM11RU DIBBARC>r0 WAITEOFF OF ACCOUNT 201 20512 MITCHELL MEN MIYCHE~L AUDEN 7/00/00 2/25/01 74.22^0 326t 1.1 DRAT SMNA q19 N RA1J9}{Ai~ DENTUN Tx 76201' brNTON TX 76201 No response to collection efforts. GARY 7/31/80 0/03/80 2/25/81 394.70 lot 20560 MODEATCR RCTHA MOOCSTCRn2 2415 W OAK 022 gg WW OAK #22 DENT Tx 76201 DENTON TX 76201 No response to collection efforts. 102 14006 MWSTCR WYNESSA 11 00657DbE DANNY 5/20180 9/31/80 ^0128/81 123.75 8 1 N RUDDELL 601 f, LL TX 76201 No rosponse to collection efforts, DENTON TX 74241 gENTON 102 16746 MpqNAEN CARLA MOWDCN LARRY 7/10/00 7/22180 2/25/01 1243.60 1 9WT RGASTOha TX 76201 10IRNT0 A RCDOTOIJE TX 76201, No response to collodion efArts, 06 6 Vol 20107 M?N1YAOX 131 ALVA MMTOTNTYAO% 191 ALVA 8/04/00 2/25/01 107 as 14 1 PONuen YX 76259 P NLriR TX 762^59 No response to Collection efforts. r^.OS 10413 MOORE ELIZA MOORE ELIZA 6/01/00 2/2D/01 196.50 4837 MCYERs H204 ^,37 MCYCR3 11204 .LAS .ollection efforts . B617 TX 75^w19 DALLAS 7% 70310 No response to j 102 7032 M)AF SARAH M AE SARAH 6/02/00 6/04100 2/25/81 66. 00 3!• WILSON 7}6 WILSON Lu~uM Tx '16201 DENT OW TX 76201 No response to collection efforts. i j 20t 70072 M00+1C NOODROW MOM WOODROW 7/16/00 MOM 30.20 Q LAKEV jW 104 LA9I!VQ W LIRE DAL1+ Tx 70060 LA9C DALLAS TX 790611 No response to collection efforts. O I.LAfi CHARL98 5/^27/90 2/25/01 59.79 201 18349 Hipp is . CHARLIE 4 tl71UCicALD ME 4 07 (~EV,ALO-AFB TX 70214 h1,LLA0 TX 75167 No rosponse t0 CnildetiOn efforts. ~ 201 19791 M0RIt1}~r JOHN MORN 1r9 , JDHIJ 7/OS/170 ^a/2D/81 42.39 j y ~1lti~'iN NORTH DRI TX 76201 tii~N}0117. WORTH DRI TX 76201 No response to collection efforts. ' 1 16660 VqARISON i T041 MORAMON . OPAL 4/06/00 2/25/01 5q, 75 F3ANCCl1 TX 76266 BANE 'A TX 7b266 No response to collection efforts. I 20f. 06,39 IN' , JOHN 110ZIN JQIiN 7/03180 1i/25/91. 163, s0 01,29 RT. 2 pnX $9 RT, 2 TX 76201 No response to collection efforts. 3 DENTON T% .76201 0,11IJ :01 20579 1,101 F TT MGYgRg4~j HHWW SCOT7 0/01190 61/28/01 146, 2v Ly'd 6lI0tlOD PLO TX x5067 L Wt8Jt4LEO00 P40 TX 70065 No responso to collection efforts. i~ Ny, i I { 1 r • , ' ~ I• •9Y eMWfM.Y r.ww~.•. r.4..y .~a~ a .n ♦i.. r ...r... DAT£ 2/26/01 12: 4t; FLOW MCM0R I AL Ha OP I T A L PAOC 17 , BAD DIiHT TRANSFER REPORT FOR PERIOD 2/01/01 THRU V oa/al FAIIENT NQ1Pn.CR es44rppsp PA1'ICNY Wtt~~ME 4ApAppg44 roppp4ppp 0uAnANTOR NAME u4pp4444 DATr DATE DATE OF SALAN8E PFX NUMBER NAM.Lo ADDR, CITY, 8T, 2IP NAME, ADOR, CITY, %T, ZIP ADMIT CD DISCHAROED WRITCOPF OF ACC VNT 101 19060 NAND IN Mines NANDIN3 AROLDO D 6/16/00 6/23/x0 2/20/01 1149,60 DCCA1Uft TX 76234 1XICATUri YX 0 No retpon3e to Collection efforts. 201 19609 NEAOCE RHONDA NEACEC W1LnAN 7/04/90 2/20/01 91.39 9 NTONGDCENT TX 76201 DLOMIVOCCNt YX 76201 No response to collection efforts. lot 20760 OOUINN BRENDA a0U1N3N , nONNIC 0/06/00 0/09/00 P/25/01 896.75 LGWIGVILLG4 TX 70067 LC1419VO LLG4 YX 73067 No response t0 collection efforts, I r02 18160 f REi00 HI , OUCL ORRIECO , MIOUGL 6/7.1/00 1^./25/111 33.90 Df1MTONANNIN TX 76201 UL IfUNAbININ TX 76201 NO response to collection efforts. 101 19403 P9111110ON TERRY PATT~'jn1RON , TCnRY 5/28/90 6104/00 2/2n/at 270.00 LEEWISVILLE TX 79067 LCWI6VILL~D TX 75067 NO response to collection efforts, 202 20339 PAYNJ , KARL JO PAYNgg , DOY,.C 0/09/00 2/25/81 111.29 lie. 11 ROAN KU COURT YX 76262 ROANOKII COURT TX 76262 No response to collection efforts, i 501 19149 PAZ IIARIA PAZ. , RAMON9 6/24/00 6/29/00 P./25/at 404,45 LAK HAVEN CSTATCS PD LAKE HAVEN ESTATES 28 LAKE DALLAS TX 70060 LAKE DALLAS TX 75065 No response to collection efforts. Pot 55593 PEACE STEVEN PEAC , D,EULAH 3/08/30 2/2$/x1 69,50 77qqI CHAMDRRS 7704 kAMpERB MATljN TX 76201 DENTON TX 76201 No response to collection efforts, i 201 10269 PEAST[R EDDIE PCASTEP EDDIE 9/28/80 2/P5/81 374.90 112,4 NORTH LOCUST 14;,`4 !NORTH LOCUST DSN'[Oly TX 76201 DENTON TX 76201 NO response to collection efforts. 202 1f0al P;ROE n%pT , JJ08EPH P N CR~~I1RAFT CAROLYN 0109/80 2/26/91 75,00 ^11" G 1JORTH DR Ha0 2,1~ P1 WORTH DR H90 MOON TX 76901 DUN~ON TX 76201 Moved; left no address, i 101 ISM PE Ht~L MARTHA TN7 , WHEELER 4/09/00 4/14/00 2/525/81 343.10 ra HWV 02.9 r; )ITH AVDRUN Ob rIL.1VILL1i TX 1624% FAt1MINOION NM 87401 No response to collection efforts, 101 18774 PNAr~ t 8 TERRY PIIA ( g ,.JAMES 6/08/90 6/11 'SO 2/95/81 198193 1?RO~;NDVtlOR LIl Ms02 TX 76060 ?hV UDOR LN R20 ' TX 75060 No response to Colleotl0h efforts. li tot 11780 RCONOLO CAROL REORJOLD JgkN 3/20/90 12/26/91 797.60 pCRNAAD //V li0N0LD RT. 1 BOX 6 0 1 D NTarr TX 76201 Rhollk YX 76'+,66 Arrangements not kept, - r., I C s~ ~a.r,.~N.i.+1,wau.r+ru..a..irM....r.J~.aRLwua.rdu _ • _ .1 1 i'i(.iE ^a/ea/Ol 12:42: PLOW 11 C M 0 R I AL H 0 0 P 1 T A L PAGE 10 + DAD DEDT TRANSFCP REPORT FOR PERIOD 2/01/61, 7eiRU 2/20/01 I rArrIENT NVMppER 00~aa0Man PATtJggNT IJAME au+~++p+p 3100r*M00 OUARAy~'C7R NAME 0rt0~~rrq OAT DA7R A R OF DA.ANCCCCQV PF% NVIIDER NA11C, AODA, C7V, 8T, UP NhME, ADDR, CITY, UT, c rrrr AnM1T ED D18CH.4ROED WRI.EO.F __IJT . r.. w.,r~r ..wu ,u...r •.rr ..w...... Y..Mrr w..rwru..Y . r..urrr Yrrrrr ww~ ur»ur..•..rrrwr, wr •....Vwr uiwrunwr.. w.......rwrr • MwM YMrw 201 r19148 RICO + PATRICIA RICOO PATRICIA 6/17/80 2/26/81 35.00 pp PQOX 143 SS VMLLEY VILW 7X 76772 PALL OXY V,0 1W T% 76272 No YOSpon90 to collection efforts. DEDAA R1p0C + STEVE 11/41/80 11/22/80 2/26/01 614.50 l01 43972 , R+To4DOC6'DPELL N48 "01 RUDDELL 948 A140 uses name of Duncan to,obuse and avoid BBNTD11 T% `76201 UNTON TX 76201 paying; no response to collection efforts. 101 12007 R77IPLEY ELTON RII,PLEY tILTpN la/18/74 16/23/70 6/26/81 613 00 COiSpNCHE TX 76442 C7011ANCNE TX 76442 Balance after insurance. l01 18699 RODCRYSON JEFF"" RtlDERTSgN + ROVERT 7/31/80 8/02/00 2/26/01 1342 SO RTD E•\G2 8L'J01 ISHP DEIJTON TX 76201 D DENENr01J Rll46' SI.VCM MHP TX 76201 Arrangements not kept. I zz 1 17007 ROPA10Upz + JAMES RODRIWC9TW000 JUAN 8/11/80 2/26/81 24.00 ..11 WE'STWOOD 4PI U141ION TX 76201 UtNTON TX 76201 No respoAee to collection @ffOrts. 1 19719 R011lIOUEE JAYNE ROARIGUCT , JAYNC 7/03/00 2/26/01 43.00 P cCrl DEL IggjiTX 79248 MEMPHIS Tx 79249 No response to collection efforts- 1 1,900 RtlRl0UC2 JOE RODf2l0UEZ DANNIE 6/24/80 2/26/01 20.80 q00 N RUDOELL 90'1 RUDDELL I DENION T% 76201 DENTON TX 76201 No response to collection efforts, 202 10267 R00CR8 LINDA RDOEtts LINDA 12/24/ao 2/26/01 38.25 lU(,EDINDURO ff10 EDiNDURO i~UNfU14 TX 76201 PCN GIJ TX 76201 No response to collection efforts, Also, l n rtR0 KATHERINE 1, ne, 0f1ER0 , KATktiS RltJE s+ p~~Iant Ralph Suddath. '/ab/8s 32, s0 2'0:1 lOAIS MDOX 10301 IJTSV P. Q, DQ% 13301 NTBV TQN 7X ' 76203 DGIJTpN T% 76203 No response to collection efforts, i 101 17838 RUI2 JUAN 1~Uv. JIWAN 9/1,4/00 8/19/00 2/2b/01 620,67 MAY11},1,.L rnmkm PARK 4` g I n. IILL TAAILER PARK r' OEN1 N 7X 76201 DEN ON >Z 76201 No response t0 Collection efforts 76201 IIM io/to/f10 a/ 6/B1 !10.75 802 16760 AVOHINO I4 1NDY RV6HIRUpOCLL k161 D``qqii~rENT~Q71RUDVELL 0161 Tx <120 n TX 760101 NO response t0 collection efforts. 101 23401 OANM10~1f,~ + MARIA 0814 I i, FRANC IM 11/01/00 11/04/00 2126101 080.68 4gt !11 TX 76201 4 UMIN TX 76201 Arrangements not kept/ maternity IICCOUnt, 201 i9p89 11AVLOA FLOYD BAYLOR FLOYD 6/16/00 2126/01 140.75 I RT J IIQX 64S HT 2 DOX 645 TX 76234 No response to collection efforts, OCC/+7Uxx TX 76234 09CATUR 74 1 l: 1iAT6 212,51DI 1.7:4:; F L 0 W KR M 0 R I AL H08 P I T AL. PAOr 0 DAD DCOT TRANDFCR REPORT FOR PERIOD 2/01/91 THRU 2/RR/91 PATIENT IPIMUCn aaos,edan PArIEV NAME ntlus.raaaa aatlnaaaa 0UARANTTOR NAMC aaraaaoa OAT DApTTE' pA7R nnF DA ANCCE PFX NUligLA NA114, AODR, CITY, 9T, 211) NAMU, A40n, CITY, o1. ZIP ADMITTED D[BCIifiROtD WRITEOfF OF CGOUNT d 1 E 1 _ _ 202 1213.^ CNIIIAT PLN'Y SCHMIDT OCNC 10/11/00 2/26/01 97.80 7 8 DOX 300 TWIN LA9 :S q7. IIOX 300 TWIN LAKE EHTbN TX 76201 1311 N TX 76201 No response to collection efforts. Q 2022 17467 rrONA DALE 3rttrln . FRANCISNC 6/27/1313 2/26/O1 160.36 go:t Oil i)OX 011 ANCea TX 76^266 ANOU X7 7622266 No response to collection efforts, 101 23309 SMITH THELMA rim ITH TNLLMA 11/04/00 11/10/00 2/26/01 1$13169 915 47tTHEnS 915 WITHERS OENION TX 76201 DENTON 7X 76201 No response to Collection efforts. ~ 101 14496 9PCARR HDLLON 5f 1fAR~ HOLLON 6/0/00 7/09/90 4/26/3l 274.62 P O pry'X 451 P t1 tl ]X 491 SANVI.R TX 76466 SA140F Tx 76266 NO response to Collection efforts, lot 17470 SOUIRRO RNOINA DOWNCY JOHN 5102/130 5/06/00 2/26/91 05.00 4111 PUDDELL 1434 RUDDCLL ~QNTUII TX D111,41ON TX 76201 Oalance after Insurance, ( 7 2^02 11324 9TPAN4 i JAMES ~TRANOC , JAMES 12/29/80 2/26/01 49 39 3 7"0 I^n SY &T d~0 MneEY 9T DCNTON TX 76201 D NTON TX 76201 No response to Collection of forts, i , 1 14680 3111ANOC' J11NNIFCR TRANOC JAMES 1/07/01 2/26/01 73.00 Gy0 MASSEY g? OHNTON TX 7b201 llEt14 NS5CY TX 76$01 No response to collection efforts. I f 202 16018 3UIDDAC7g~IINDVRO RALPH ROOCREDINDURO LINDA K 7/17/n0 :/26/01 109.`,0 18NTUN TX 76201 1)lNTON TX 76201 No re5ponyyggL1ndtto cO lectlon efforts, I f See 1130 1 Ro~or$1 669 55 Il 101 20483 TAYL?IR LISA TAYLOR 11110019 7/ 9/00 0/0 /o0 12/1"1/01 yy17 HAMDERO v37 CWiI40tR9 KNTON TX 76,^.01 GENTON TX ''6201 NO response to collection efforts, 1 lot 9491 70LCgV RT DARGAAA TAOLLxDrnTin. ROUEAT 9/10/79 9/226/79 8126181 119.62 4 XNARRI4IC,U01A TX 79107 NOOft1k3WDLE8 PA 19484 Wanda after insurance. I i 101 11202 TORRES MARIA T?RR~B JOE 1'104/79 11/07/79 n^/76/91 808. 1s ^4 PERRY 2 4 PERRY $f NT N TX 76201 DENT N TX 76201 No response to ColleCtIOn efforts3 Maternity I j.; 101 7905 1T666g$apN HANNAH iTi TOGQN DAWN PGfoArdS 1/12/00 2/26/01 67$.00 {i UPOIJAROtE . TX 76201 D'N NnRD1C TX 76201 Arrangements not kept. I 101 14COS VAppUne1IIN , ONNiC' VAT1111IN CONN19 1/311/E30 2/01/00 1^/16/91 395.00 nt10Yl.C TX 76226 hf20YLE TX 76286 Arrangements not kept. I 1 I y D La ft .y/fat 12:42 FLOW MEM0R IAL H 0 9 P I T A L NAOE 20 x DAD DEBT 1RANBFL•R REPORT FOR PERIOD 8/01/01 THRU 2/28/81 W PATIE?rT 74UFID R tltln+"►roao pA~• ENT NAM(1 4*4**dpwtl wwtlwtltlww CVVAflAN7pR NAME ww+wwwwu OATgg DAMPg DAYS pF DALANCE Prx NVIII15 PIAME, ADDR. CETY, ST. ZIP NAMC, ADDR, CITY, ST, ZIP AD14IT7FD DIBCHAf10EO WRITEOPF OF ACCOUNT ti0b 2967 WARM.OW CHARLIE WARDLAW RODDIV 3/30/80 2/26/81 38,28 9`4 IJ, W40O 914 N. (4000 ' DENYON TX 76201 Dt:NTON TX 76201 No response to collection efforts. 34.00 0 801 1'1021 WAVHINOTON LECOLIN WASHINOTON LECOLIN 6/14/00 2/26/01 40? UNIVERSITY 208 7.401 UIJIVIIRSTITY 1'02 Ell ON TX 76201 D&N 014 YX 76201 Moved[ left no address. 201 16182 W09 JOHN PATTON PALLY 3/23/00 2/26/83 64.28 91004 ROSULAWN HT 4 POX 35 GGtItUN TX 76:O1 DCNTON TX 76201 No response to collection efforts. i 220'2 0262 WEnII KENIJETH 41CD KENNETH 12/01/130 2l46/01 113400 110 WOODROW 1109 WOODROW Dr,NTON TX 76201 DGNTON TX ' 76201 No response to collection efforts. WE00 LY1414 NrLDD , LARRY 11124/77 11/30/77 2/x6/81 74.70 179 60148 ` i iii 1 ' 76240 OAINESVILL£ T% 76240 No response to collection efforts. ~ 201 7491 WE1,T01 RQREPT WCI TON RODERT 4123/00 2/26/81 99. 28 0n 1FD9YONE 40 0 REDSTONE 2,V05 Tx 16201 DL•IITON TX 76201 No response to collection efforts. f f , lot 16172 IJE9T22 JUDY WEST JAMES 6/03/80 6/09/80 ^x/26/81 1"15.10 { ={p 1OX P36 PU10~6 TX 76209 PONDER TX •76299 No response to c011ection efforts. '6"' 4/19/00 2/26/131 25.00 w0{ W.y 1D DCORA IJHITRY DBORA NA bYl. SYCAMORE 1708 W. SYCAMORE DENTON TX 76201 OU14TO14 TX 76201 Movadl left no address; former e,nployee. 101 6232 WHITrIftl) ANNA 14PIITFIF. D ANNA 11/[7/80 11/19/90 2126/81 1092.00 ' ~r.lglONK .5 MHO Tx 76201 H N ONA C MHP H261 T% 76201 No response to collection efforts, ".OI 113619 WILL A149 ~ RCN NILt.lAII1q , YMHOIIAB 6/03/00 2/26/81 92.79 I BOX aBl7 TWIN LAKS~ M P NOX TX 76201 DUN TON :!19 TWIIJ LAKES PsHF j ' DENY N TX 76201 No rosponse to collection efforts. ! 84l t2700 tSL1.1All g LARRY WILLIAM3 LARRY 2/T>6/01 39.79 I 7 1 0O%, 160 R7 1 VU%'SGO 1 KRUM TX' 76249 KRUM TX 76249 No response t0 cOllact1011 BffOrt9, ' f 199 60040 WILLMON RONALD ~JILLMON 'd ILL IAM 1/01/77 tht/77 2/26/ni 78.00 1 +40 ITUART 79067 L&IJ1LdV1lLB YX 79067 No respoASO to c0110c00n efforts,. 20l 10314 WILSON OSCAR Wll.flOW OSCAR 5/26/n0 2/26/01 73.90 7(~ AW,t I FN} I IIANU: ENT 1 Tl1AN;.IL'NT TX 77777 YRAN31ENT Moved[ loft no addreS9, 'f I • , ' ..rPYnyN.4NYt 1 ,ira2.M+i•.f~lu,klL~v PAGE 21 t'.1rC :/:bitll 12: 48: FLOW M E M O R I A L H O 8 P S 7 A L DAD OGOT TRANSPHn RCPOnT FOR PEn10D 2/01/01 THRU 2/20/61 gg p rg c i.titiENT NlR'19Cn paa•tiaEeO NAT CNT NAMa -aaaan00r ~xrapaaa O~IARANTOR NAME *aaa400a AOM17TE0 DI8CAIt0MD 4JRlTEOO OPDAIL.CC4UNT F'F( NVNIEn NAME, ADDn. C~T'1S J L 2LP»MNAMCi ADDR,»CI-Vry-Ty»ZIP»r_»»»F W18CNHUNT MYRON 2/00/00 2/26/01 21,25 ~O1 14648 Wlj ON NHUNT7 ACOIJ RANC , MIH CHCLLC R7 9 DOX 7 ACORN RANCH,,X 7b^201 Moved; loft no SddrosS. DT Ull) X TX 76k01 I)CNTON Chl l01 t6504 WOLF C018TINA f09FMA " Y 014 JODY 4/02/00 4/00/00 2/26/01 325.60 09 MA38CY 414 l114TGN TX 76201 DENTON 1'X 76201 Movedl loft no address, ~ JAMG9 WOOLAVDR JAMES 6/07/00 2/26/01 167.55 :,01 10760 W 11 DOY 1713 D YD - NVONOYD TX 'io201 DCNTON TX 76201 Movedl left no address. 201 14090 YAfNKC~j 28 F PAM Y(IT ANKCFDOX 28 F JOL 2/16;00 2/26/01 97.75 AUDNtiY OX TX 76'227 AUII~CY TX 76227 No rosponso-to collection effort. 201 1627 n R YARD g TAMMY 0/11/00 2/26/81 69.25 D5141 ON TX 76201 Movedl left no address. P D OX,g74 TX 76201 DLTN7ONX 974 13. 00 101 23460 qYARDj LOT 39 RANDOLPH RTIIi I.pT 39 RANDOLPH 10/31/00 11/03:'.10 2129/01 J DENTON Tic 76201 DCNTON 7X 76201 Balance after insurance. 201 2^624 YARD 7 NA YARD MARVA 10/09/60 ^•/R3/81 56.00 D )1'ON ESTATES LOT9 pp?°WIT011 ON CBTATB9 LOS 29YX D NTON T% 76201 M 76201 No response t0 collection efforts, 202 8067 YORK , RAY YORK RAY q/1O/79 2/23/81 63.$9 9311 FI T% 76201 LN DLN7p ggCOTrN rX 76201 No response to collection efforts, ~rr"i0 SCOTT DNT • lot 12614 Y?nK RICK YgRK RICK 12/12/79 16/15/79 '2/29/81, 94.34 POST POINT TX ~IdT POINT TX 76290 Balance after Insurance, OWEN t/00/81 2/20/01 36.00 201, 79903 YOUNG , CATHY G'IMOtlFT WORTH DR096 66g y T WORiH DR TX 76201 Movedl left no address. T% 76401 DNTUIJ ' DENTON INF MALE YOUuNG NODFRT 4/16/79 4/19/79 2/29/01 169,00 i tOi 3394 YOUNG } 6 FF, HICKORY 01 F. HICKORY p T% 76201 No response to collection efforts, NTON T% 762201 0914 N 201 1042 AMjOW PAUL 7AM2OW ! PAUL 6/01/00 2/25/81 92.00 OF f)rt1NAPRiCGRN Ii+i~ NA RT P. CANR1COFtN MHN 04 TX 76201 P. DMNTON 7X 76201 MOVCdI left no address. i l01 16741 7 GV i 1,M N CINDY %,}}UCKCRMAN ALLAH! 9/07/(;0 9/12/00 2/2t/01 I lot, 65 r 9~,0 NDOhloanRY CA~ I Opp1AP511 LN 11609 ! DENT TX 76290 1 It LYON TX 70006 No response to ^011octi01I efforts, J 1 1 I I i 1 ,..».,.....i.,.wod' - - - ..~».w..iaw:~.'..+ :w,.,..-~~:S:.,s.,wd~~uW-•,~s~ 2/P6/01 12:4.^, FL 014 MEMOR I A L H0 SP I TAL PAOE U2 DAD DEBT TRANSFER REPORT FOR PERIOD 2/01/81 YHRU 2/20/01 • ' r p FAItENT^NUMG4R ••a•'-a+~uAhT1CNT rNAf7E +naanaaarw eaawrrwarGUARANTOR -NAMC 'fwwwaaaa -rDATE -----ATE--- -ATp- poF - DALAt~^E-- r Prx NU40A NAMC, AUUR, C1T1', OT. ZIP NAMC ADOR, C1 7Y, 3T, YIN ADMITTTEtl DIgCHAR0E0 WRITEOFr OF AC ~VNT f TOTAL BAD DEBT WRITE-OFF THIS PERIOD: 100778,20 ' k I k I I i Fl. ; { f I , I 101 V P. Ito p 11 to 4 s t r } c i i r' } 1 ,i 3dli +F aCKNkP' i BOARD ;OF ;DIRECTORS BUSINESS MiNUTES Ne* January 22, 1981 The Board of Directors of F1nw f4emoriat met in regular sessibn at 7;00 p,m, on Thursday, January 22, 1981 with Mr. A. E. Wyatt, Chairman, presiding. Other { members present were Dr. A. M. Finlay, Mr. George Hilz, Mr. Brad Moore, Mr. Gray Shelton, and Mrs. Mary Williams, Also present were Mrs. Wilma Fritz, Airs. Gloria Madewell, Dr. Roger Munn, Mr. Leonard Watson, Mr. Jim Grant, Mr. Tony Franzen, Mrs. Margaret Lester, and Mr, Mike Mitchell and Mr. Larry Rayburn from Peat, Marwick, Mitch 11 and Company. (Dr. Nunn had attended in the absence of Dr. A. D. Short.) Mrs. Mary Williams presented a plaque signed by all members of the Board to Dr. J. H. Miller in appreciation of his work with the Board while President of the Medical Staff. The minutes of the previous meeting were presented and reviewed. They were approved with no corrections or additions, Mr. Mitchell and Mr. Rayburn from Peat, Marwick, Mitchell and Company were introduced and asked to review the auditor's letter to management on internal control I and accounting procedures. Specific items were discussed regarding the computer system, pharmacy, inventory, bad debt and charity accounts, collection procedures, rate structure, funded depreciation, and marketing analysis and trends. The auditors recommended that the Board of Directors adopt a policy of funding annual depreciation expense to the extent that cash is available. The Board concurred that this is a sound business decision and will provide future funds to help replace obsolete and worn out equipment. This fund would be segregated in the Balance Sheet from current assets, The funding of depreciation will not affect the Statement of Operations. Mr. Mitchell made some specific recommendations regarding ways to prevent bad debts and methods to improve collection proceedings. Mr. Wyatt asked the, Administrator to preparA a report for the next meeting detailing what action has been taken on each I recommendation made by the auditors. In cases where the recommendations have not been acted upon, Mr. Wyatt asked that the reasons be reported also to the Board. 11 The financial statements and Bad Debt Charge-Off and Charity Charge-Off Lists were presented by Mrs. Fritz. She noted that the average daily census for the month of December had been 95,5. Current ratio pf current assets to current liabilities E had increased from 2,62 to 2.34, due in part to a decrease in percentage of cash collected and an increase in inventories. At the end of December, excess of revenue over expenses was $28,288, with a year-to-date excess of revenue over expenses of $65,926, Mr: Hitz moved that the Finance Report, includingg the Bad Debt Charge-Off List in the amount of $66,439 and the Charity Charge-Off List in the amount of $32,562 be approved; this motion was seconded and passed by voice vote. Mrs, rritz proposed that the Board consider the possibilityy of the hospital withdrawing from the Social Security program. She noted that the auditors might be l~ able to provide some valuable information regarding this, 'Mrs, Madewell stated that she would send the Board members copies of articles which had appeared in TEXAS HOSPIT S concerning the pro's and con's of withdrawal from Social Security. It, was agreed that if the Board is interested in this prospect, then the auditors could h+) asked to pro- vide additional information. Mr. Moore reviewed the minutes of the Januarv 8 meeting of the Foundation Board. Ile noted that their auditor had recommended the re-investment of their certificates I a' of deposit which are currently drawing only 7.752 interest and that the Foundation { Board had concurred with this recommendation. Certificates, totalling $110,500, were, therefore, to be re-invested, Dr. Finlay moved that the Board accept the Foundation's Ir i~ Report; this motion was seconded and passed by voice vote. E ~ f BOARD OF DIRECTORS BUSINESS MINUTES o°te January 22, 1981 The Administrator reviewed the minutes of the January 7 meeting of tke Safety Committee. He noted that the committee had recommended a new smoking/no smoking policy which has been adopted. Dr. Finlay commented that the new x-ray machine, i as well, as the film processor, had been connected to the emergency generator. He added that to the best of his knowledge, this is the only hospital in the area with emergency generator-powered x-ray equipment. Mr. Watson noted that a new door for the 2C outside entrance has been ordered, The Board members reviewed the summary of incident reports for the month of December, Mr. Grant commented that the incidents were trivial in nature and explained what follow-up is taken on all reports, Mr. Shelton moved that the Safety Report be accepted; this motion was seconded and passed by voice vote. The minutes of the December 3 Utilization Review Committ~t. were presented and reviewed,. All cases had apparently been reviewed and admissions and lengths of stay had been Justified. Dr. Finlay moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice. vote. Dr. Nunn, Vice President of the Medical Staff, presented the Medical Staff Report in the absence of Dr. Short. Dr. Nunn reviewed the minutes of the Executive Committee Meeting,. He~sexplained that the Chief of the Department of Medicine had been brought up to date regarding a phy 1cian within his department who had been on probation tho revious year, and the new Chief had been asked to continue monitoring his work at the j hospital. Dr. Finlay had announced to the Executive Committee that the new radiograph c~ fluoroscopic equipment in Room 03 should be ready next week. There had been some discussion concerning what documentation--if any-pis needed for the physician's order that no resuscitative efforts be made on a particular patient. Mr. Grant, however, took exception to what had transpired at the Executive Committee Meeting. Mr. Wyatt asked Mr. Grant to discuss this matter later with the Administrator and resolve any problem. Dr. Finlay moved that the Medical Staff Report be accepted; this motion was F seconded and passed by voice vote, Dr. Nunn presented the list of the Chiefs u¢ Onrvices and asked the Board of f Directors for their approval of the appointments. Specifically, the Chiefs are as follows; I Chairman, Department of Anesthesia, Dr. S. T. Love I Chairman, Emergency Medicine, Dr. B. P. Little Chairman, Department of Medicine, Dr. T. O. Blucker Chairman, Department of Obstetrics & Gynecologgy, Dr. S. D. Mantri Chairman, Department of Pathology, Dr. K. L. Fgrd V. Patterson Chairman, Department of Pediatrics, Dr. Dr. . J. T. H. Oliver Chairman, Department of Psychiatry, Chairman, Department of Radiology, Dr. A. M. Finlay Chairman, Department of Surgery, Or. W. E. Sanders Mr. Moore moved that the listed chiefs be approved; this motion was seconded and passed by voice vote. Applications which had been approved by the Credentials Committee, the Executive Committee, and the appropriate clinical department were reviewed. Or, Finlay moved that all three applicants be appointed as requested--vizo, Marvin Vandenbosch, M.O Honorary Medical Staff; W. W. Wenrich, Ph.D „ Allied Health Professionals Consultant to the Physician--Psychologist; and Thomas 0, Blackmon, ',,.D„ Allied Health Protessio StafF, Consultant to the Physician--Psychologist. This mL.'ton was seconded and passed by voice vote. EI I) ~ i i I BOARD OF DIRECTORS-____ SINES--S MMES oar, = January 22, 1961 W~ - - r.9. 3 The Administrator presented some statistical information analyzing th'e location of patients by city and county, revenue produced by each physician's patient, types E of patients by diagnoses, etc. He noted that this information is collected by the Medical Records Department and is submitted to a computer firm in Houston. Mr. Watson reported that the hospital had received a check from the County this week totalling $60,000 and that this represented one-fourth of the expected funding ...for this year from the County. He noted that he had hoped to receive one-half payment instead of one-fourth and had therefore based his proposal to purchase capital equip- ment on the figure of $1200000. He reminded the Board members that the had earlier discussed using one-half of the County's funds for capital equipment and one-half to purchase an interest-earning certificate. The Administrator proposed that the followi g items be purchased at this time: 1. Replace drapes in patient rooms-412,000 2. Replace vinyl wall covering in corridors--•$32,000 3, Purchase a new film processor for X-clay Department--$13,858 Mr. Grant, however, asked the Board to consider approving the purchase of new cardiac monitoring equipment for the Intensive Care Unit at the cost of $36,700. He explained that he might have to close either the CCU or ICU in the next few weeks because of a shortage of nurses, and he would prefer to utilize the larger ICU if it were equipped with new monitoring equipment, There was some other discussion concerning the;priorit of needed equipment, and Mrs. Madewell stated that she would send each of the Board 1 members the prioritized list which had been completed by some members of the Executive Committee, There was some discussion by the, Board regarding the merits of saving funds for emer ency expenditures versus utilizing the funds for the purchase of pre- I sently needed non-emergency) equipment, Or, Finlay suggested that the Medical r ! `Advisory Committee be re-vitalized for the puepose of making` recommendations concernin present and future capital equipment needs. The Administrator also detailed some item which he would recommend purchasing in the near future--i,e., monitoring system for ICU at the cost of $36,700, 8 beds for the Progressive Care Unit at the cost of 8 000 sewing machine for Laundry at the cost of $750, printing press at the cost of $9200, and a 3-channel EKG monitor for Cardiopulmonary at the cost of $5,000, Dr. Finlay moved that the Board approve the purchase of the drapes, vinly wall covering, and x-ray processor as recommended by the Administrator, This motion was seconded and passed with a majority voice vote {4 for; 2 against). Mr. Watson presented information concerning the present operation by the City- County Health Department of the Home Health Services Agency and by this explained how such a service would be provided hospital, he stated that with the proper management and support of the physicians, this service could be improved and provide an operation profit for the hospital. He stated that he feels that it would be a good program at the hospital and that upon receipt of an approved certificate of need or exemption certificate and new provider numbers from Medicare and Medicaid, the program could be ready by May 1. This proposal was discussed further. Mr. Moore moved that the Board approve the Administrator to negotiate with the City-County Health Department and to re-establish the Home Health Services Agency here at Flow Memorial Hospital. This motion was seconded and passed by voice vote, Mr. Watson proposed that the Board approve an increase in the mileage expense which is currently at 17t per'mile. Mr, Moore moll that this be increased to 200 per mile. The motion way-, seconded and passed by voi:e vote. 4 I f~ Mr. W,-tson announced tnat a new chr)lain will b- beginning his work at the hospital art February 3, The new Chaplain, Rick Edmu,.dson, will be a part-time employee J r` M.MNb{MW~ w.a.. . ~ if • . i..... «s•. Mh,Y Fa w.Hh ♦1. j r } BOARD OF DIRECTORS i USI BNESS IN E$ nar. Janua --_ry 22, 1981 " working one-half a day each at Floe Memorial Hospital and Westgate lios ita r,,. Administrator explained that the Chaplain's salary will he by te The two hospitals, as well as the Denton Ministerial Association.equally shared was no further business, and the meeting was adjourned at 10:55 p.m, Mary Henderson Williams Secretary j I 9m f r r , If j f > 7 I 1 , ~If.3p I 'I r , FLOW MEMORIAL HOSPITAL , BALANCE SHEET JANUARY 31, 1981 Current Assets: 1981 1980 1981 1980 Current Liabilities: Cash--Operating $ 114,101 $ 120,472 Current Notes Payable $ 113,181 $ 103,090 Interest & Sinking 917 Accounts Payable 7889598 535,739 Reserve Fund 17,727 5,417 Accrued Payroll 78$20 165,040 Repair Fund 11,412 6,680 Payroll Taxes 990689 77,176 Group Health Insurance 143 697 Fees Payable 135,443 115,676 Investments 236.498 _ 198,217 Bond Interest Payable 3,878 3,354 000 . Total. Cash & Investments $ 380$12 $ 331,483 Bonds Payable 65 .0 00 5. Accounts Receivable $ 2 305,273 $ 2 002079 Total Current Liabilities $ 1,284,309 $ 1,0049475 Less: Allowances 269 377 286 12 Other Liabilities: Net Patient Receivables 00459896 1371 , Deferred Income $ 2039612 $ 176,388 Other Receivables $ 264,486 Long Term Notes Payable 388,170 312,209 $ 2379877 Bonds Payable 496.000 560,000 Inventories 257,778 205,463 Prepaid Expenses 41,296 33,084 Total Liabilities $ 21371,091 $ 210539072 Total `Current Assets $ 21989,968 $ 2,523,884 Capital. Property, Plant & Equipment: City of Denton $ 393,165 $ 393,165 Land $ 37,547 $ 37,547 County of Denton 1,696,871 1,696;871 ` Building & Improvements 3,001,472 2,957,707 Endowment; Flow Estate 240,461 240,461 Furniture & Equipment 35923,446 3 557 895 Fed. Grants, H111-Burton 1,868,910 1,868,910 3,14g Federal Grants 256,371 256,371 $ V. 962 $466 l Accumulated Depreciation 3 569 791, Pledges and Gifts 373,300 326,503 3 229,294 Gen. Fund Bal. Deg. of Yr. (9449652) (1,163,821)! r Net Property, Plant, & Equip. 3392,675 323 859 Current Year ~ 166,211 $3 --.-~.-._.L.,.... Total Capital j TOTAL OPERATING FUND 382 43 $ 5,847,743 ;.-6 TOTAL OPERATING FUND 6 382 643 $1847,74, Y S - s Current ratio: 2.33 ! 2-11-81 } 1 ! 1. ' ,lll 1 ,.t rig f del 1 S IS k \yln\ r Page 2 FLOW MEMORIAL HOSPITAL f STATISTICAL STATEMENT J JANUARY 31, 1981 CURRENT MONTH YEAR -TO -DATE P R 1 0 R Actual T Bydget Actual Budget Year-to-Date Adult Patient Days 3,148 2,790 11,843 11,070 11,592 Average Per Day 101,6 90.0 96.2 90.0 94.3 Newborn Patient Days 330 403 1,306 10699 1,433 Average Per Day 10,7 13,0 10.6 13.0 11,7 Gross Patient Revenue/Pt. Day $ 304.67 $ 298,65 $ 294.44 $ 298.44 $ 252,06 Total Expense/Patient Day $ 267.96 $ 249,85 $ 253.63 $ 249.85 $ 210.24 I Month.. Char t Bad Debt Recovery October $ 29,023 $ 61,326 $ 7,117 ' November 29,827 810974 6,285 . December 32,562 569439 59349 January 9 7 034 13,313 $ 90,412` $ 278,769 $31,964 w % of Revenue 2.6 % 8.0 % 1.0 % 2-11-81 i s r F,1' , 4 VI r'1 E r }tit,; r r i t`r f ; l 1.1. r h 3) , ~q FLOW MEMORIAL HOSPITAL Page3 STATEMENT OF OPERATIONS/JANUARY 31, 1981 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Profit Loss Daily Hospital Care 21 $ 201o426 J 59j120 32896- -W Psychiatric Care 7 66,541 22,858 978 23,836 41005 08/Post Partum 4 390051 11,733 1;117 12,850 26,201 Intensive Care Unit 2 19,700 16,679 987 17,666 21034 Nursery 2 23,030 10,479 889 11,368 11,662 Neonatal Nursery 1 5,450 90610 205 90815 (4,365) Coronary Care Unit 4 42,834 27,908 29250 30,168 12,676 Labor & Delivery 3 23,887 17,421 4,017 21,444 21443 Operating Recovery 4 429564 169668 99612 260280 17,284 Emergency Room 3 280709 11,750 20,465 329215 (3)506) Central supply 6 56,366 79876 16,194 24,070 32,295 Laboratory/Blood Bank 9 86,467 33,662 38$62 47,905 Radiology/Nuclear Medicine 8 75,476 16,118 21,315 37,433 38,043 Pharmacy/IV 14 1349617 91981 45,381 55,362 79,265 Anesthesia 3 29,985 11,362 8,455 19,807 109178 Cardiopulmonary 2 22,074 5,484 9,343 14,827 7,247 Respiratory Therapy 6 54,213 109461 5,589 16,060 38,163 Physical Therapy 1 7 807 6 463 616 6 078 1 729 -1000 309,96 $'lfi t9~ $`"44,8X/ $ 459 3 " j Deductions of Revenue $ (38,894) $ $ $ M- $ (38,894 Charity & Bad Debt (87,465) (87,465 Employee' Health Ins. Exp, 20,151 20,161 (20,161 Medical Records 126 9,572 11922 11,494 11 368 afft Shop 1,396 1,122 377 1099 1104 Cafeteria 119118 24,586 26,149 60,736 39,617 Plaht 14,908 46,776 61,684 (619684 Housekeeping 22,171 6,697 28,868 ((((((28 Laundry 7,337 949 80286 (8928 Fis'641 Affairs/Data Processing 7,435 4,407 11,442 (11,442 Business Ofc. & Credit & Called, 200961 99379 309340 (30$40 Purchasing 10606 880 2,385' 2,385 Personnel 2,971 1,447 4,418 (4,418 Administration 69387 60280 12,667 (120667 Staff Education 1,740 386 2,126 (20126 4 General & Administrative 942 - 33,703 33,703 32,761 Depreciation - 32445 32 446 32 445 -ff 12006 ~►1~4 ~i $(425 0217 PVa+r ,t/o) Gain (Loss) from Operation 34,339 Non-Operating Revenue 220530 22430 Foundation 4,333 4 333 T6ta1 8 3 1 391,41Y 61, t i i r f 1 , FLOW MEMORIAL HOSPITAL Page4 STATEMENT OF OPERATIONS/YEAR-70-DA7E, JANUARY 319 1981 % of salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expgnses Profit Loss Daily Hospital Care 19`- ,i Psychiatric Care 7 229,784 86,776 21961 89,737 140,047 OB/Post Partum E 160,782 $19027 40667 55,694 105,088 ICU 2 69,900 58,176 4,305 62,481 .7,419 Nursery 3 88055 6 2,442 6475 47,737 40,318 Neonatal Nursery 1 29,250 39,264 1,002 40,266 (11,016) Coronary Care Unit 4 156,949 1073331 11,233 118,564 38o385 Labor & Delivery 3 94,967 60,113 15,547 76,660 19,307 Operating & Recovery 4 147,704 600888 44,804 105,692 42,012 Emergency Room 3 109,589 46,782 850190 131,972 (22;383) Central Suppply 6 219,047 31,003 68,984 99,987 119,060 Laboratory/Blood Bank 10 345056 1609650 1600650 185,406 Radiology/Nuclear Medicine 8 269,555 610833 769339 138,172 131,383 Pharmacy/IV 14 483,967 36,418 138,268 174,676 309,291 Anesthesia 3 106,916 429875 329151 75,026 31,890 Cardfopuimonary 2 82,816 21,953 39,360 61013 210602 ' Respiratory Therapy 5 1759174 43,445 20,864 64,309 110,865 Physical Therapy 1 39s397 2 27 1 730 2 167 16-,2g0_ Total 10'0 ~ IiMsI46 U2~4" f Deductions of Revenue $ (166,119) $ $ $ $ (166,119 Charity & Bad Debt (349,431) (349,431 Employee Health Ins. Exp. f 13,442 73,442 (73,442 Medical Records 698 36,900 69116 430016 ((42,319 Gift Shop 5,570 4,554 3,813 8,367. (2,797 ` Cafeteria 38,667 95,017 97,509 1921626 153,859 Plant 609305 150 542 :210,$ 7 210 847 Housekeeping - 839824 23,824 107,648 107,648 Laundry 29o714 7,423, 37;137 37,137 Fiscal Affairs/Data Processing 29,276 159778 456054 (45,054 j Business Ofc, & Credit & Co11ec, 82,876 34,616 117,392 (1170392 1 Purchasing 51762 3,202 8,954 {8,964 Personnel 12,252 31886 16,138 (16,138 Administration 24,,516 19,463 43,979 (43,979 Staff Education 6,892 868 7,760 (7,760 L i General & Administrative 4,240 949796 94,796 (900566 Depreciation - 112 282 11 (112,2891 047o460 M, 19*338 , Gain (Loss) from Operation 16,881 { Non-.Operating Revenue 920992 920992 Foundation 17 253 Total 1 1 1 , I Y. +s s -r Page '5 SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS JANUARY 319 1981 Current Month Year-to-Date Beginning Balance $ 59'367 $ 22'839 Cash Received from: 20644,476 Active Patient Accounts $ 700,076 $ 31,964 Sad Debt Accounts 13,313 40,182 Cafeteria 11,516 1D5,752 Appropriations/Donations 685042 174,409 Other 61626 799,673 2 996 783 Total Cash Available ' - Cash Disbursements: $ 446,874 $ 1,389,267 Payroll 42,878 165,866 Payroll Taxes 99442 73,886 E Patient Refunds 1080198 i Capital Assets 9,435 34,046 Notes Payable 238 714 1,135.763 Other 744,343 2,907,025 Total Disbursements $ 112,597 112,597 Cash Balance $ 23 498 Cash investments 2w 4 Total Cash - Gross Patient Revenue $ 956,535 $ 3 983,728 Less: Allowances 50 931 ;;In I FIN" Net Patient Revenue , t6-04 ' j 70g,0a2 $ 21644,476 I Cash Received on patient Accounts 73 886 Legs; Patient Refunds VWOS634 $--2s570s590 Net Cash on Patient Accounts 78.8 % Cash Received as a `d of Revenue 76.3 E Page 6 F L GAGED ACCOUNTS R RECEIVABLE SUMMARY T A L JANUARY 31, 1981 Primary Payor_ Current 31-60 _ 61-90 _ _91-120 121-150 150 + 7ota1 % of A R Medicare $ 2399571 $ 419923 $ 37,499 $ 1,390 $ 232 $ 19310 $ 321,925 16.8 % Medicaid 38,529 9,072 31691 2,839 172 51794 599997 3.1 % 72,443 21,514 3,963 18,797 2,687 91601 128,905 6,7 % ; t Blue Cross % j Commercial Ins. 278,946 167,868 145571 10509 6,607 7,734 477,234 24.9 309,602 134,625 87,094 349041 30,335 156,078 7519775 39.3 % Self-Pay I Balance after Ins. x6,427 26 260893 _ 271500 _ 15>693 23,557 175,988f 9,2 % 517 401 920 172,6 1 86 7 55 ,726 203 974 $ 1,915,824 100.0 % 420,0D1 { In-house $ 2,335,825 p Total Accounts Receivable 3% 11~ F A/R by 7, 52 % 21 9 % Number of Accounts 7,920 Days of Revenue; Accounts Receivable 67.6 In-house _ ]~54 { Total 0,.1! oI . I,A'fE t/;tti/ili 12:,11 FL 014 MCMOR i AL 1J ASP I T A L PAUL' 1 DAD DEBT TRANSFER REPORT FOR PERIOD 1/01/81 THRU 1/31/Sl - , PkT1ENT NUKBLR e,r+,ruar PATi4'P;T NAME a•aaaaaaa ,22,,,22 GUARANTOR NAVE aaaaaaaa ADMITTED D19CHAROEp WfA2 Tt.pFIT OFBAACCOUNY FF,x NUMRCk NAl,C, AOCS!^_CtYY,^ST, ZIP.. NAMS, ADDR, CITY-,-ST. 20 g15 22:2,29 r ABERNA7HV WALTER 7/10/80 1/27/91 ,Ot 20147 0ATHY WALTER Co11eCt10n efforts, rr3 214 SI.V D011t VHN 1129 SLV DOME ClJTOIJ TK •76101 UENTOIJ T% 76201 NO response t0 101 1"29 ROAMS SANDRA AD{TA2M6 r CHARLES 6/14/90 1/29/01 264.27 ATLOT POINT 7% 76259 A1LOT POINT TX 76298 Arrangements not kept. 1 129/B 701 25743 AOADO , E515HRALDA AOADO , JUAN 9106/60 l 48,90 1514 MOZINOO 1511 monv00 No response to Co11e0t10n efforts. DENTON Y% 76201 pHNTON TX 76201 Vol ^01744 AOADO JOSE AOA Or JUAN 9/06/00 1/29/01 40,50 6ENTONOZ1Nv^0 YX 76201 g N 00" tNQO Y% 76201 No rosponse to collactton efforts. Dot 21742 yOADOPIUZINCp Ro4A ygygOMOZ1NOb' ROSA 9106/94 1124/61 199.90 8104 D.NTON TX 76201 N OIJ TX 76201 • No response to Collactlon efforts, 201 IFW 1 AOVILAR + DOLMA B OILYCAMOR6 LOUIS 6/01/00 t/79/81 29.40 8G0 '.1YCAMORE [1 T% 76II01 Ba1aMC@ alter 1nsoranCe1 no response t0 C011eCt1W UENYa14 Y% 76201 D I'T IJ off 9~~ys~ES MILDRED, 1/30191 C'01 24429 Al LI:N MILDRED 9fl~EEtJNU7Y LAME h 1y JUNNI:TT LANE. E Ii:NS:,vILLE YX 75067 L:W hIL E T% 79067+ 101 10940 Al.tE r VAN6$8A AI.LGN ROBERT 6/0/00 029/00 1/'•39/91 149.61 h1 i E 11221151E 611 K PRAIRIE Tx Boience after tnsSUSrancet no response to [i, l+7.S7t Tx 76,01 DENYCN 74201 cq)jgJt%t88 effOS%1`//110 S/gq/91. 46, 00 101 167,4 /NLi:I.titNl DUN ANDCR5ON DON 13Y 1 flux l8E AT I BOX 18E • AVORfoY Yx %627 AUDRF•.v 7X 76287 DalanCe 4110, tnsuranCAS no response t0 , 1pt 0effolr±ttss CO~/~ lot 19891 DALlrtJO JILL BALLARC0LLIN9 JILL 4~60 711 /RO 1/;19/81 924.40 112 CGLLltl3 f ptin2UN TX 76201 0 ON TX 74201 Arrangements not kept, 201- 21247 pARRCR , PAMELA fIAgIIER , PAMELA 6/20/80 1/29/91. 32,90 . Iq(J SAM OA9S oD-4 1900 13AII BASS OD-4 9NYON TX 76241 uujjgNYOgN qpRRpp TX, 7620i Nu response to colleotton efforts. 201 20950 L Jp~ 311.LF PETTX 75066, LHWIOV ' LIYXIAN75067 No response to COllectton efforts/g1 85, 0.0 129 /2q/81 ,30 201 19705 ~lSUalR JCRRY AAyAER , JERRY 7/04/00 1 , +JCUIJNGR TX '/5061 1R VNO' OCONNOR YX 75061 No rosponse to collection efforts, ' f! l 1 is DATC 1/30/01 13:43: f L 0 14 M 9 M O R I A L H O S P I T A L PAGE 2 BAD DCOT TRANBFER REPORT FOR PERIOD 1/01/01 THAU 1/31/81 PATIENT NUKDRR n{aunaaa u FAj1 IqT NAME *04*000a* a*naaaaa DUppYRANTOR'NAMErtturura** _rW E _ PATfi- 6ATIE OF BALANCE PFX NUMOF. NAME:, ADPR, IIY, 8T, ZIP NAME, ADDR, CITY, ST, 21P ADMITTED PIS PATE- R1 OF OP_ ACCMUNT ' 201 19647 DARNfiTT LAWITA DARNETT , LANITA 7/04/80 1/29/41 38.00 ""p W HICKORY ^209 "^e"so W HICKORY 208 E ENidN TX 76201 aEN ON T% 76201, NO reSpOnSe to collection efforts. Y 101 19737 BENNUTT , AlJDAEW D~NgNE T BARBARA 7/06/80 7/06/80 1/29/81 160.00 1401NgHOAF DR.. T% 79060 jfiV11J HOAF DR, TX 75060 1I AA a Balance after insurancel no response to 201 20402 DISHOP MARC 5 £1HQP DONALD CA3)gg190 efforts. 1/29/81 44.90 1 D ITONERCE TX 76201 U NTUNERC~ TX ' 76201 NO response to collection efforts, 0102 1,^.434 PLANO THOMAS RLAND , CHARLENE 7/06/80, 1/29/81 34.50 V R24 CARROLL BLVD, 2q CARROLL BLVD. s D NTON TX 76201 OPINION TX 76201 No response to collection efforts, 5 e 10/13/80 1/29/Bl 1&2.05 20'3 22. 7D2 nOt.D[NO , 7AL11ADAfi My CITY 4-14 TALMAD05 NI RSITY CITY AP ~NIV CITY D.16 ENT~N YX 76226 DENTON YX 76201 Arrangements not kept. 201 21529 ~~DttrorwmiDOX 186 A ` MAX DDOWDENDOX 186 A MAX 8/31/80 1/24/01 34.70 1 FRISCO TX 75034 Fkt CO T% 75034 No respons6 to collection efforts; I 1 11340 ]RADY CLIFFORD 11RADY CLIFF IORD 8/23/00 1/29/81. 22.00 DR, 4'4 N LOCUSY li DTINLOCUET T% 76201 O NTtlN TX 76201 NO response t0 C0118Cti0n efforts. { 202 20612 in ICE V10LA ~1R[CC VIOLA 4/06/00 1/24/81 146.00 1p kUBE LtlU18E N4 ; ~ENTON 7x 76201 BEtPT ~TON YX 76201 No response t0 collection efforts. 144 61509 DRIOHT KATHI DRIQH7 , ELBERY l2/2A/70' 12/23/78 1/29/81 206.25 BOX 1778 t 76201 WEST NEMPHIS AR 72301 Arrangements not kept. y Pot 23730 DAIMBIiRRY JAMES OR~MDEARY JAMES I1/00/80 1/229/81 38.50 11 yy yy6 1 LYNN OAftIiAI~DNM TX 79040 UARLAND T% 75040 Unable to locate. ' 201 19`J40 iik 11JKLG , CHAD inrtINKgLCYY , CHAD 6/30/80 1/79/01 92.00 QAIIIEOV~ELEHEA TX 76M OArNE5VILL HER TX 76240 NO response to collection efforts. l 17709 ~RrOOKS LAUREA AROOKS KELLEN 11/01/00 1/29/81 1'293.45 148T POINT ~ YX 762bU PILUT POJN1' ' TX 762,50 A& responso to 0110Ction efforts. 202 9740 ali0~ll4 D117TY 11ROWN , BETTY 10/e5/00 1/29/81 40.00 RTdNIN DX 1109 T% '7620! UNIONOX 1189 TX 76201 No response to Colleotion efforts. • DENI' I i f 'S i z r 1 I i ~ Y1: QATE 1/30/01 1:1:44; F L 0 W M E M O R I A L H 0 8 P I 'I A L PAGE 3 BAI? DSVT TRANSFER REPORT FAR PCRIOD 1/01/81 THRV 1/31/81 PATIENT U10EgR 4rka.wano PACr B11T Ut1Y1'1E rxrurr~xr nxrrxaxx CUARANT R NAME rarrrrrr DA7• A OF T DALAN fFX N!,UM~tk NAMC, ADCIt, ~7Y. Ilp NAMte, AhOR, CITY. 87, ZI ADIII T ED CC D pp TTggQIED pA gg p0 ACC86NT lot 15614 DROWN DRENDA UgRR0114g4N DANNY R 8/34/80 8/18/80 1/$9/61 33.00 TONHAWNLE 'TX 76201 SENYONHAWNEE TX 76201 Balance after Insurancel 00 response. onse. 101 13287 DRAWN RUDOLPH DROWN RUDOLPH 8/11/80 8/13/60 1/.9/Bl 60.00 AUDREYS YX 76227 AUURN'.' TX - 76227 Balance after 1ASUrance. 201 .^.1306 onQ14y OOOCAW , AU35CLL ' R0 76 GODQAN MARY 8/:3/80 1/29/83 35.15 GWLA.$ TX 7=9 pALLAd TX 76229 No response to collection efforts. 202 1583 USN , MARTHA QU814 KENNETH 6/23/00 1/a9/8f 603.86 t1Y 5. BOX. 39 ~t+t7 p DO% 39 EN1ON TX 76201 DEN bN T% 76201 No response to collection efforts. 201 2:592 2UTLt?R JAMES DUILEJRF JAMCB 10/04/80 1/29/81 32.50 IIGNYONNN1C TX 76201 1) NTUNNNIE T% 76201 No response to collection efforts, .^.02 19200 U1'LF1? MARTIN UTLgR MARTIN 10/07/90 1/29/81 124.50 AIL OEDUX 644 T% 76020 AZLLE O% 444 TX 76020' MoYadt left no address. , l"'^ lot 10305 DpUTTOhN DAVID DUaaTTON DAVID 5/26/06 5/87/80 1/'19/61 214.40 A~Y43 TX 76226 AROYLRX 963. TX 76226 No response to collection efforts. 101 ' 7879 DU1'TON 002210 p ITON DOARIS ANN 7/17/00 7/16/80 1/29/81 318.80 R 2 1jOX 963 R DOX 463 A6Yi.1: TX 76226 A Ot'LE YX 762,16 No response to collection efforts, 101. 17574 ARY7fROM6N7~N SOX 1723 , AMANDA PIIISEET RAS.PH 5/04/00 5/05/80 1/R9/B1 448.45 A 7X 76201 DATEN SOX 923 TX 76201 Arrangements not kept. 201 19739 C,SEY , RICKEY CARWY , RICKY 7/06/00 1/29/91 53.00 ss ssSICRRA l 0'' IERRA ~GiON TX 76201 1,4VC N TX 76201 No response to collection efforts. 103 $602 C~gRD LINDA CARR , LINDA 7/03/80 0/11/110 1/99/61 189,."0 tfT 5 TWL LOT 203 k7 8 TWL LOY 2'J3 DCNTON TX 76201 1J ON TX 76201 No response to Collection efforts. lot 14089 PAWL' X 614 , KEVIN pCpAWWL , MARGARET' 6117/60 44111/80 1/'30/81 377.85 DENY TX 76401 D~ Y NX 634 TX 76201 No response to collection efforts. lot 2476 9HJ65Mr~HAL4 , REBECCA CCg}JOREpNa#AL , EDWARD 0/00/80 6/04/80 1/30/01 60,00 Y !'NYL7NYAN YX 76201 OGNTON AN TX 76201 'Balance after insurance) nG response. , r I t I ~~,1'Sf I GATE 1/30161 13:.4.4: FLOW 11EM0R I AL H 0 S P I T AL PAGE 4 DAD DEBT TRANSFER REPORT FOR PERIOD 1/01/83 THRU 1/31/81 PATIENT NUMBER e4a««uara PAT~pIlT NAME «a«rrr**» ennspr+n GgARANTORrNAT15 DA7 ppA F OFDALANCE PFX NAME., AM cC iYY, 8T, tIP NAM ADDR, CITY, T, IIY ADMIT ED DI------- OED ATEDDFF ACCOUNT NUMBS ~ 101 - w 1 . a»-----...--------------- 101 13093 CooODE LARRY COI,DGLL LARRY 12/26/79 MOM 1/30/81 804.96 RT i~X 423MAHILL Td gOX 42J MAHILL DENfp TX 76203 ~EN7UN TX 76201 Arrangements not kept. 201 22870 OMp70N , FRANK R 11PTON FRANK 10/12/80 1/30/83 78.50 1 D~ON TX 76201 Unable to locate. ONION TX 7620 J 201 .".0749 CANNER . EDWIN C NNER , LELA 8/06/80 3/30/81 02.50 1!617 I L 80N ~Q}} 17014 1 LSgN q' CENTd 7X 76201 ENY N 7X 76201 NO rOSpOnSO to C0110Cti0n efforts. 101 18606 SONNOLLY JR FRANKpLAMD FRANK 6/03/00 7/01/80 1/30/81 640.00 493 MIDLAND DALLAS 7X 752t7 At. AS TX 78217 Unable t0 locate. 102 4397 CRO.:LIET7 GLEN CRgG1,177 OLIN 30/09/00 1/30/83 32.80 4.q!!0 G LUCU97 N1LL GEN7Ur'1 TX 76201 BUT E4 LL 76801 HO rOSpOASe{ mail returned, 70A 3600 [C~RQ831 JIMMY CR 88 JIMMY 7/16/80 1/00/81 5103,98 D` N DRAD5HAW 60 N DRADSHAW TX 76201 pE 7X 76201 No response to collection efforts, 7X 76403 0 4EIA 6/22/80 7/'15/80 1130/81 199.00 Nt'ON lot 19274 p ,70NTH 7QY3 T UNTH 7X 7b201 Arrangements not kept. ; 8, 1 ^9,29 MM N$ JOHµtJNY 11/03/80 1/30/81 1. 1 102 11049 CUbfldlNB A'TEY kV RT 4, BOX 3l8 BHADY >`3HO D617ON T X R 76201 1)9N.TON BOX 318'BHADY S7X 76203 Insuran a paid patients no response to tot 20716 COMMONS KAND18 A~VEY , JOHNNY W cobwf M offoovoo/00 1/30/81 100.41 n R 4 BOX 13813 RT 4 BOX 08« D6NTON TX 76201 DYNTON 7X 76201, No response to collection efforts, Ltt,gA CURL :Y LINDA 7/l3/80 1/30/8f 314,80 s01 14987 Cl1ALFY 1 Wlfd LAKES MHP ".f Lq'Art3 I1NP NTt[1, TX 76201 Mvedt left no WrOSS. ~YGF,TON TX 4620f ~ ddL u wgVRRY , WILLIAM 9/29/00 30/08/00 1/30/81 1226,38 j 101 X'444 Rn3 Wt,fiRBpX .^33 A ALICE URX ?03A CTTpf1 MAN TX 75142 UP11Aryv TX 78342 Arrangements not kept, I 101 73334 nlrau: RICHARD Q1ENL , RICHARD 10/26/00 10/28180 1/00/81 744,50 htwitJTCI,AKEII NHP ,.71 TX 76x01 }DIL~hi0NAl58 MH>' 271 7X 76:01 Arrangements not kopti then unablo to locate, 101 IIM40 ~OUO A RICHARD OU01.0 RICHARD 7/24/00 1/28/00 1/30/93 1310.95 t /13 I. N~ CHA119L {20 71.3 ¢yIIIJN CHAPEL 16 L6WIb IL E TX 70061 L6Wt&bvyILLB TX 75067 Noy re$pon$d to C0110000n Ofhtt6, 1 ' 1 r 4 y 111 i i F E ~ 1 A • DATE 1/"/011 13:•14; F L U W MCMOR I AL HdSP I TAL PAOti 9 BAD DEBT TRANSFER REPORT FOR P511100 1/01•/01 THRU 1/3!/61 t PATIENT NUMBF~'R aankeruan-pAZJJNT-NAME aawwaaean nraxasaayOUARAN R NAME **00*0a0 A0MITTDATEF.O OATS 018CHAR0E0 DATE- W11 1 L'F OFOAACCbUNT f TO - ^ 11 P,--..----_M'~~~~ FFx NUMUF NAME, ADDR, Y, Sit ZIP NAADDRt CITY, B7,-2 22216 MARLON OOUNnt + MARLON 9/21/00 :9/26/60 1/30/61 2046.95 1 EV yy 101 UN Apsn 60ARDWALX hNT UOARDWALK TX 76•^OS No response to 0110ction efforts. WIT N TX 76.01 ON GARY 9/21/60 1/30/9i 120.60 201 2.206 OUNN JC1JtdYTNC BU% 40 5 BOX 140 TX 76201 500 TX 7620! No response t0 collection offorts. DE 0CrI7gN `14/60 1/30/61 1628.50 D%LE ¢gg VILL OE 0pYLE 9/09180 lot 21912 EAD¢ 09 EAST fll0` 3`o'Ot1LLADC EAST N 1X 76201 ~47NTON P 7x 76201 No response to collection efforts. D JIMMY LDR 00 I JIMMY 5/29/'30 !/30!61 80,25 201 10414 G INt i DQ YY R .1 ETC EIJDE10 PtNTENOE TX 76299 No response to collection efforts, P14gT F IN7 TX 76256 b.~,39 202 10990 ¢LIIONDO EFRAIN UISOICIItNNCY' EFRAIN 9/L'b/60 t/30/O1 ENTdN TX 76201 TX 76201 NO response t0 collection efforts. 1 MCIIINhlCY b•,hJTRN bNT 102 7699 Ill 71' PAMELA UC1X4Y2 , KCNNCTH to/s!6/e0 10/30/90 1/00/01 634, S8 BbX472 TX 76,149 Arrangements not kept. $Vium TX 76249 KRVM I, DONALD MF~KA i DONALD 12/23/00 1/30/01 36.00 ..01 26997 . CMEKA CHARLOTTE At'T 2 TX 7b?0! ~)VN ON CHARLOTTE APT 2 TX 76201 Unable to locate, gNI3 f UE DENTi~N +THOMAS 9/l7/00 9/27100 1/30/61 2S9.55 108 00769 F.PT1tJr FELLA PT~ItNIO,AKtiB 6244 AP, OLLO TX 76201 ~¢NTgN TY 76201 Balance after insurancel no response. Dr • • 6/01/90 9/04/00 3/30/O1 464, 50, lot 20986 FpIh" AIICLIA 1 F It 11 cn 6T TOMMY l,p~TIN:! 7WS1J LAXE S TX 76001 D 14 ON TX 76201 No response to 00110otlon efforts. C HHN 10/10/74 11/09/79 - 1/00/01 Poo. 00 101 103(70 rORD JOHN CF0pq0 k' 241141JUYn'0111 RD a^ 0X 314.41 07727 f'A04 0001JER RD 2 6d NJ4 07727 Arrangements not kept. 102 l:'49 fnnRU . REOECCA FO7RD3 p , ¢RNti9T M 7117/60. 7/22/90 1/30/9! 165.00 RT. DOX 797-h ROX 799-A OANO~.R T% 76266 N a 0 G T% 76266 Balance after insurancal no response. LNN T a TX 7511 L~ i MAROARIST 5/00/00 6/09/90 1/30/61 1507.45 101 50461 AV- L'UX 149A 11AROARET QtMD qqS lsx 1496 7x 79!!4 OPC rQquosted by faintly; now they refuse to pay, 9 NNI ' n SANDRA 4 RR¢ T ALVERD 9/051/90 1/30/91 60,00 I § 1 +0169 OII ARR¢T 1'T 1~jy6 rpotIORTON ' (tA14CSVILLCMORT0IJ T% 76P40 0 t11Nt; URN TX 76,^.40 Arrangements not kept; i , I , s s •t. I i I,a+r . K„ i 1 KATE 1/30/81 3, 44, F L n 14 M@ !9 O R I A L 11 0 S P I T A L PAGE 6 DAD DEBT TRANSFER REPORT FOR PERIOD 1/01/131 THRU 1/31/81 , PArI~NT NJ111! R * 0; .aa44 PA'{ IC,IJY IJAt4( akuaa444a k44k4/kk CUTA,nA TOR NAME 41'4kk*** Ag4l7~EO DIJATE05D &ATgEOKF OFDAACCOVNT i FX NUMDI NAMti'., ADDR, CIYYL_8x[PNAME, A1)UR, `C1TY^-_.._-__. 101 20169 00NETT oo SONDRA GARRET~T{R ~ ALFCRD 9/12/80 8/15/80 1/30/91 179.20 k ~A14£RVIILEiOnTOlJ TX 76340 EA14ejUOC. MORTON TX 76240 Arrangements not kept. 701 23219 W RI50N JUDITH OARRISON JESSE ' 10/22/80 1/30/61 31,50 AUD~EY Tk 76227 AU04EY T% " 76277 No response to collection efforts. 201 '221730 OAR1q' DANIEL OARp 9/06/80 1/30/81 41.30 IJ.AKC DAL~ASRtlW TX 73069 LAK DAL4A9MANpR TX 79665 Balance after lnsurance► no response. 102 19113 O SDRDUnDCLL dS2tlJOSHUA 4jLDR,1{AA[ i JOHN 9/Oft/8U 9/04/60 1/30/61 124.13 E4` ON Tx 76201 D NTaN14'` T% 76201 Balance after lnsurancel arrangements not kept. 201 24440 I~1LL . 0014ANA DILL 9 CAROLYN 1R/03/80 1/30/61 80.60 KO Af17~.1(~OD 1yy App7WRbD LVWI V{LLC TX 79067 L8W1DVlLL T% 79067 Unable to locate. j n 2 RUTH poQ{~CR' RUTH 6/22/80 '9/02/80 1/30/81 1S.80 101 21260 5~ LAKGY STREET 8'!8 AKEY STREET Dl. NT UN TX 76201 RN AN Tx 760.01 Balance after insurance{ no response. r 8/07/60 1/30/81 42.00 1 265 20797 0(1tURM1T}{ JACOUCLtNC 4ggJ'OOn tlN HELEN 3'!S bItlOD TX 76201 pNTONW00D Tx 76201 Arrangements not kept, h~1!TOrJ ~a3,2a ' CLOISC OPAV96 CLO18G 8/29/00 1/30/81 « 1 1749f3 ~RA'Jf 8 nnX 41 R7. i DOx Al ' AVI!RCY TX 7620 AUDREY TX 76227 , No response to collection efforts. P 1 ~0410 ORrUN TEnRI ORCCN TERR1 8/11/00 1/30/81 34.00 0.0 x 60t ' 62p1 EAGLE 0.1.60 DEf:NTOtJ AOL6 N260 Tx 74201 DGNTLN TX 76201 No response to collection efforts. D i ' 201 21631 MINES KENNETH HtAMM x8 DOM 9/0/00 1/30/91 23.00 OL{1` A 2391 TX 76201 ~L1N H 2345 TX 76.^.OS NO response to Collection efforts. 8/:9/00 1/00/81 41, SO ::JS 21481 OR fMIiD . TGIRRY GRImg{' TERRY UAVIl1 (R 1.1t PK no, 1.^ UAV LR ppK. NQ, S~ LAKU VA I. 75065 NO response to C0114Ct1On efforts. 56. 110 LAS 7x 76069 LAKE tiALLAB T% 101 10982 gr1 PAMICIA ~j gCORDDVA RICHARD L 6/10/60 1/30/61 ' ~zNIONORDOVA TX'' 74201 4N ON TX 76201 No response to Collection effOrtp. LSO 'p390 HgACK%pp}}~~ RR DR1VC LANA, 8%13/80 ~/30/8l 59. 90 t, 201 20903 Fgie;CpDN',YKC DR1Vd TX 79056 THk COl DY Tx 75056 No response to collection efforts. or1 ~ i THti c I I I R 1 i . 1 I 1 l 1 DATC 1/30/81 IG: 44" F L. 0 IJ M E M 0 R I A L H O S P I T A L PACE 7 DAD DCDT TRANSFER REPORT FOR PlIR1OD 1/01/81 THRU 1/31/01 PATIENT NUiOCR +uawr+r+u PATttff T NAME +a+a+a+++ +a++a+++ OU?ANTpn NA11C OAT FpATg DAIJ r DALANOE PI*X NUM00 NAMP., ADOR, C[7~, ST, 21P NAME, ADDR, CITY, 811, 210 ADMfT6 D15iCIfAhOED WR1ff0~F O. ACCOUNT 101 20644 3~4LTEXAS ST 09 LAURA ~I;TTNXAS 8T Me JOE T% 762tl1 Moved; left no addreSQO 1/30/81 1681.30 DENTON TX 76201 D8S 00 ' 201 17041 pHHAApNKiIINS DARRELL HANK NS DARR04L 6/10/80 1/30/81 179,50 FRI8C0 TX 79034 0RI8 0 TX - 750,34 Moved; loft no address, 101 222322 HANKINS PAMELA HANKINS NEBLEY 9/29/80 10/01/80 1/30/91 1466,25 G'S FT WORTH DR 0L2 825 FI WORTH DA 022 . D N7ON TX 76701 ENTON TX 76201 Moved; left no address. I 17457 AHANKINS THERV0 gHqTA,NKINS THRCSEA 4/30/30 1/30/81 66.00 FR1SCO TX 0 .RIL0 TX 0 Movedi left no address, 201 23515 HAN:,CN RENCil HANDCN ReNte 11/02/80 1/30/81 79.60 UM HAN 1057!1 Nt1 99999 3MAHAN 105TH ST NC 09999 MOvodi loft no address, 101 10525 HAAODMAN JAMES HA UEMA , JAMES 6/01/80 6/07/80 1/30/01 900.10 P. pp BOX 1913 P. D0. 16, J(&IN TX 76247 JU9't1N TX 76247 No response to collection efforts. 101 2.1701 HARUIN JIMMIE HARDIN JIMMIE 11/Oq/00 11/19/80 1/30/81 1673.55 DOX 304 BOX 104 AUDRIY TX 76227 AUDREY TX 76."77 No response to collection efforts. 103 0631 HhRDIN VIUI9C FFIARDIN LOUISE' 9/00/60 9/14/80 1/30/01 3131.70 Itj 11103^w TWLIIHP li7 1118.^. TIJLMHP DL•N ON TX 74901 DGN~G14 TX 762121 MOVedI left no address. : 104 7631 HAROIN LOU191 RyDyIN LOUISE 11/20/80 11/28/80 1/30/81 1'592,20 INN10'ON182 TN'LMHF TX 76201 Ni0N182 TIJLMHP TX 76201 Movedi left no address. I 101 20421 HARPEA LERLIE HARPEII LESLIE 7/30/80 0/07/00 1/30/01 3019.50 i. .U`J1SONONADO 112,04 TX 76201 Rip I8ORONADD 11#204 N 14 Yx 76201 No response to collection efforts. 207 99CO HI`LLIARD BNVRALY L ~j A , JpHNNSY 0/01/00 1/30/81 4353.27 GGN ONE E TX 76201 UNT~N E TX 76201 No response to collection efforts. 'Soo (1980 Nu04f. PAYE I4VOHE8 ELDERT 6/01/80 1/30/87 26.00 I RRT (if bl~ pp77 2 OOX 612 WON TX 76201 OD.NTIJ TX 76201 No response to collection efforts. 201 19160 HULtiN.Y TOM H 1 Say ~ TOM 46/10/00 1/30/01 12.00 10Q MSgAOU6 l a,~ MOIITAOUQ LAK Wlri+iTH FL 33461 L K WOATH PL 33461 NO response t0 collection efforts, 7 a i I{ 1 , 41 i' 1 ' 1 , 71,irC 1/3Jr'41 13x4-1' F1. 0I: M C M 0 R I AL 1108P I T A L PACE 8 DAD DEBT TRANSFER REPORT FOR PERIOD 1/01/01 THRU 1131/81 PATIENTVNU-MBER aaaaaaern.PAp CNT-NA14E^«a•~aaaara aaa*axau OUARANYOpNAMEaaaaaaar OATDAT~ DATE F _BALANG5_ -R r r !FX NUMBER NAMal ADOR, G~TY, 8T, ZIP NAME, ADDfi, CITY. ST, 210 ADMIT (ED DISCHHA OED WRITEp F OR ACCOO NT ~ d , i01 3615 HVN ELIZABETH HUNJ ELIZADETH 5/03/00 5/f0/00 1/30/01 2164.70 'i 101 FT WORTH 0!t TX 76$01 B202 5T WORTH OR ' TX 76201 No respons4 to colleotion efforts. t01 16412 OiINRON DOYLE OHN00N DOYLC 3/30/80 4/10{80 1/00/01 4010,05 r16 DAKCR qSb pAKER 8LONY TX 0 OLQNY TX 0 No response to colll'Ction efforts. 201 16011 McCOY KARAN McCoy Iyt( d GERALDINE ; 4/10/80 1/30/81 $9.00 IVARKANAAB By TX 75501 GkARKAI~A. BT TX 75501 No response to collection efforts. 202 19064 MILLS , CATHY M1 La Dq x 3q 1~p134 i OIANNL' 7/11184 1/00/01 145. 90 PILOP 6NT TX 76258 ~I O POINT TX 76250 Movedl left no address. ~ 201 20547 M011ON ORENOA MOHON , DACNDA 7/31/80 1/30!01 42,20 1104 VILLAGE EAST N10" /O66 VILLAG'VAST 41 0PO ON ~X 76301 6EN7ON T4X 76201 Movedl left no address. :'O1 21649 MOORS r OGRALD MMaapFiE r GERALD 4/04/80 1/30/91 86. SO RT 110X 92 R7 w^ ppox 92 flU1'FtERGLEl VA 54321 AUTHERGLEN VA 04321 Novedl left no address. 1 201 20274 MARL ATT , ANDREW M084AIT , ANDREW 7/21/80 1/30/81 16. 00 I ~ E 4p JO L,f:MMON AVE 40u CMMON AVE 1 4E DI.Lt. TX 75M DAL3LAS YX 752200• Maved{ left no address, j 203 2786 AJ(TOlS GTEPkANIIi ONUWT0~5 , AAtJOY 7/30/00 1/30/81 08,78 KRUM TX ' 76249 KA611 ly TX 76249 NO response to collection efforts. " 101 111076 yNy CIy1rJ18 XOA XAN - N3IC5HOLS XOA XAN 1/24/00 1/31/Do 1/30/81 45.00 DidNlON1NG3 Row TX 76201 09011108 ROW TX 76001 NO relpOnSO to C01 18000n efforts. 101 22994 NkV.111:H DONNA N K CH , HAMID 10/17/00 10/19/00 1/30/01 693.'20 X11 CHARLOTT2 NS ~0~ ROCHELLE NO UL•NrON TX 76201 RV NO TX 78062 NO r6$p0nse t6 C01Id WOn efforts. C01 ^b,01 OTLhAAY 40 ' MICHAEL f1'LEARYY 40 a MICHAEL 7/19/80 1/50/81 101.25 AUVBEY 'YX 76.27 AUDREY Tx 762417 11ovedl loft no address, 1101 20610 GRIAIME STEPHANIE O JA8U5iIAN , THER98A 8/02/00 1/30/81 65.60 ' 5rrGtwnN APT 2 TX 7b20i ~fIYOk 112 Tx 76201 No responsei then moved, left no address. Ii it 101 10339 (gq(li((~~))fOURN VICKI ORtt3DCU N GARLAND 6/30/00 7105/80 1/30/01 1019.95 DE Tiiir'5 TX 76201 DENTU RONADO 01010 TX 76201 No response to Collection efforts. F, t , ' a°nr"1 ib1YG i J80; L i 1 0 ; F L 0 1J M E M O N I A L H 0 9 P 1 Y A L PAGE 9 UAD DEBT TRANDFER REPORT POR PERIOD 1/01/81 THRU• 1/31/01 „ PATIENT NIJI-MER ♦wMq+Rrtl4 PAYICNT 14AIlC aaaawaaww aa4waaaw 011ARAN77ppR NAME wwaaarww DA1& DAr g DAJgg ppF DA ANCCC PFX NwIMUER NAMCr ADDR. CITY. 5T, ZIP NAMC, ADDR, C17Y, 57, ZIp ADMITTED DISCHAkOBD WRTfi0FF RF ACCQUNT ...rr }rw~M r..r Mrwrwrr•.rr.. . r,.r n.. rrr nr -r r.. ...n.rrr .r..r ri w.n.rw rrr..__r.. r...rr rw.v..nrr.wr rrunr.n .rr..r rrrrrrnrrrr 101 1D679 OWFN8 BETTY tl4~FN5 BETTY 6/05/00 6/12/90, 1/30/14l 2427,20 RT 11 BOX 13A NI DOX 13A AUURCY TX 76227 AUUEY TX 76227 f 202 6132 OZUNA RICKY Oj.l1NA MINK N08rUP9dbe to collection ef10r4'a101 39.25 1021 CARRULL 1 21 CARROLL DENTON TX 76201 D 'NTON YX 76201- No response to collection efforts. 201 19967 PA:E MARY RACE UFaAN 7/13/00 1/30/01 34.10 21 NVIN0 tRVINO Dt.VO N00YX 78061 TROINp SR~1t10 BLVD N9O7X 75061 No response to collection efforts. I 001 10430 PARKER CARYN PAR &R CARYN 9/29/00 1/30/81 26.25 III HL;Nren,8 CREEK 15 8NT9R'6 CREEK DENTON TX 76201 EN N TX 76701 No response to collection efforts. 207 3937 PARAk GARY PARKER , GARY 4/08/00 1/30/91 34,IIb 3 THOMAS 035 TX 76201 No response to c011e000n efforts. I31~NYUNUMA9 018 YX 76201 1311 5NTON 2022 21113 PARKER GARY PARKER DEDBIG 9/06/00 1/30/93 32.80 DENTONOT 85 TX 74201 UCNTONT IIs TX 76201 MOY0d3 loft no address, 206 1419 PARKER RICHARD pq RKFR , RICKY 9/09/00 1/30/9! 30.75 RY P DOX 267 AD R7 2 BOX 267 AD AUDRCY . TX 76227 AUDNEY YX 76227 > No rosponse to 40114 WOO efforts. 802 14899 ppAR(IR TIMO'iHY PARK&qq TOMMY 7/09/90 3130/91 72,60 AU13AEYOX 267-AD TX 7E327 pUl1~EYOX 267-AD TX 76227 No response to collection efforts. 199 60349 fP71~7 DOYq DIANE PAR 044 YII ST DOUOLA9 5/30/70 6/03/78 1/30/91 570,00 DDNTON TX 762201 0NNpAq rrd, TX 76201 No response to collection efforts. 71 19/0 101 18139 711NI OOD?Lt~I PK, ALI~TX 76240 PAT 1'N' VILIC PK I 7RTX 7b2A0 MOYOdi left no bad 8950 1/30/91 3329.40 i 303 11699 ~ATTCR0~114 , MELODY PA TCRSON MELODY 7/12/00 1/30/01 32x90 j . '+•1 N. RADSHAN 3'' N. BRADSHAW NTON 7X 76203 D~NTON TX 76201 No response t0 collection efforts, 201' 14320 AYNE HELEN PANE HELEN 1/31/00 1/30/01 30.50 i 2801 1 . Dl:LL a+~~+ N, DEL!. DUNT0q TX 76201 DIiN~ON TX 76201 No response to collection efforts, 203 4510 bPAY{N~E' JOSEPH ggAgyNq JOSEPH 3/20/00 1/30/91 97.75 UitNTUNTqFIMOIJDrf+T 3 TX 762'03 U1INTONME11MON9 RT3 TX 76001 No response t0 collection efforts, j U f t ~ I - 4 1 i . DATE 1130/01 F L O 14 M E 11 C R I .A L H O O P I Y A L PACE 10 DAD DC3Y TRANSFER REPORT FOR PERIOD 1101/81 THRU 1/31/91 rIATIENT NUM3ER Mc•rarneaa PAI RT»1JAMEMa****aua4 r*aurra*_GUARANTQR NAME +~M*MM**+t DA7 pATg AA7g of DALANCE PFX NUMDCCRR NAMEI ADDR, it 8T, 2,P NAMCr ADDR, CITY, 9T r» ADMIT~CD DIBCHAROED WRIT OK OF_»AWNY fJ 1 21 » _ 2102 6084 pi_ACE JOHN PEACE JOHN 6/26/80 1/30/81 16.50 704 CNMi3ERO 7704 CHAMDERS DEN1'ON TX 76201 UCNTON TX 76^2101 NO response to collection efforts. 202 178+^2 PCGt . JA14n9 ~E D BCLENC ROYCE 5/17/90 1/30/81 113.00 411 GCLENC DENK YX 76201 DEN~fON YX 76201 No response to collection efforts, i 201 21556 PEEK KCVIN PEEK "r MARILYN 8/31/80 1/30/91 70.00 411g SELENC 411.^ BELE14C E DE:NTON TX 76201 DENTON TX 76201 No response to collection efforts. 201 ld's23 MAERTON DONALD PCM09TON DONALD 3/26/80 1/30/81 24,00 RI5 DX JO Ti„1 LAKE DLNTON 58 pNTUN YX 76•^.01 Ttdk LAKE YX 76201 No response to collection efforts, ~ lot 1!031 PFNbrC AFT D9EPH PENDERORAFT! CAROLYN 4/21/80 5/14/80 1/00/91 493.78 l~ 1iTOnWORTH DR µO~ l2 FT WOt2,TH DR ~S`E µc0 N1UN TX 76201 NTON TX 76201 No response to collection efforts. 102 11081 F~L'NpCROP,FT JOBCPH PNDSR0RAFT CAROLYN 9/16/90 10/06/00 1/30/81 447.40 ;VUNPY . IRTH DR µ80 YX 76201 2512 D4:NTOk FT WORTH DR 480 I: NI Tx 76201 NO response t0 Collection effort/, ~i 103 11091 PCNICRORArT J03CPH PENDCRCIRAF'f CAROLYN 10/24/00 11/03/00 1/30/01 1141.30 ^,4i" FT WORTH DR 1100 2x1.1 FYY WORRTH DR 4180 DUIWON TX 76201' D&NfON TX 76201 No response to collection efforts. 104 8053 PEN . SILLIC P99EZ A03ERT 11/29/79 12/0V/79 1/30/81 14!7,51 qqpp NOOD qqoo ``J.~ DEM ON YX 762201 DENTONOA • TX 76201, Arrangements not kept. ' 101 19710 - PT11 , MAKWEL PE FiZ VANVEL 7/05/90 7/07/80 1/30/01 49,29 ( 5ia HAILRDAD 9,21 RAILROAD DENTON YX Dls'NT014 TX 76801 No 'osponse to collection efforts. +,R 1 AILLAS 6/04/00 1/30/81108.00 pCAZ MCLDA FFCF.Z 9p ?,G2 103G2 , t2Y, nOX 50 ROYAL OAKV R a BOX 50 ROYAL OAKO ft: ON TX 76201 D FITON TX 7,6201 NO response to collection efforts. O ,30 101 17675 PEREZ 1526 HNGON OT TRINIDAD 1Sy~ZJOHIJ8Ol1•BY Mgr P00 8/08/80 5/14/80 1/210/91 vVVON TX 76.001 DEWON T% 76201 Arrangements not kept. ~ 101 '2079 P~RGZ J11 TRINIDAD P11f(v-Z JR , TRINIDAD 3/07/00 3f15/00 1/30/91 237 50 1 HOW.* gr 1 ROSE 999 ULNTON TX 76201 DENTON TX 76201 No response to eolloeiion efforts, ry "U NN PERKINS OLGNN 7/14/00 7/19100 1/20/81 97,66 101' 20020 PfgqftKW~ll~; ttJJ 147 WE Y{1,,'04D i,- LEW1liV1LL OD YX 75067 LEWISV1L6ii Y% 79067 N¢ relpOnfe t0 Collection effort8r ,Y r ~ i E y f -'t f y, ~ r } u f , i r 1 , t r 5 e~ "I jl , 1 I+AV9 I I P.nT>+ 1/3o/til 33.AJ: F L tl w M r M o It 1 A'1. 14 o E r i T A L. DAD DEBT TRANSFER REPORT FOR PERIOD 1/01/01 THRU 1/381/01 ppqq g I CC PATIENT NUAS4HR *Y+YaYkt^PATIFNT-NAME u•+Y*~akra akkY+aak OUARANZIP TOR NAME aaakifkaa ADMITTED DT9CHAk0ED WRiT90f~ OFOAACCGUNT ADDRI CT1'I 9T1 ifP IJAMEI ADDR, TYI8T.- - FX I hOER N'AME, 20J - V - 18909 PIC,RRYn 8 1.3 MICHACL, RTRAYIAAN 123 MICHAEL 6/14/00 1/30/01 69.00 OEN1'ON TX 76201 D9NTON rX 76201 NO response to collection efforts. 6/2 201 19247 IT 1EO91.nK AMANDA 0 FRIER 1 ARA 717X THY 0 Moved;/left no address, 1/30/91 $2.60 T 1 LPETTEgION ' 8119LLY I 0/04/00 1/30/81 166,00 801 e0600 P XD21N , SHELLY xPY t NAPPY D X 927 T% 79042 D HhpO 1 TX 79049 No response to Collection efforts, 701 93041 pEGTpOk 27p D(t10RAH P OTf3OX 278g DROORAH 0/15/00 1/30/81 55.95 LAKE CALLA$ T% 75069 MR DALLAS TX 79065 No response to Collection efforts. lot 10954 PHILLIPS ARTHUR PHILL PS i„ RAY 6/02/00 6/06/80 1/30/91 46.46 Rtl+t RRR TX 76266 SANGER~ lIANOIi TX 76.^.66 No response to Collection efforts. PHILLIPS CARL 1.'/23/90 1/30/91 49.00 OOf 390..^.t pHil. )PS CARL bb 7 8MPLE11TH TX 76501 T Tx, 76501 MOVedi left no addreS41 , 6617 E11TH Y9M!' t 703 9346 PH PPS LEEANN PHIPPO 11 11KY 12/06/00 1/30/91 97.50 YX 76201 Moved; left no address. OCNTONLO NORTH ROAD Tk 76801 DEN ON Oqd OLD NORTH ROAb 32. 90 ?.04 ^949 PHIPPa MILORED PHfP RICKEY 11/07/00 t/30/91 i IS INDOOR 119 0~ 1 I NDSOR 49 ~NTEN TX 76.01 DENTON TX' 76201 No response to Collection efforts. YOLANDA PICAP+SQ v LUIS 6/26/00 1/30/01 371.70 S01 17947 Pgqi~A`~`♦♦RAMC A17 RAKE DI:NTUN TX 76201 CNTON TX 76201 No rosponse to collection efforts. 1bl 57750 P}Ctnl~9 CYWTNIA P CK2LC 1 JOSEPH S/ 10/00 6/19/90 1/30/01 60 70 ~IIlk POINT TX 76200 011.807 POINT TX 763150 No response to collection efforts) ' 201 10473 PrIPASON TAMMY Pg Rf30rSgY RD. TAMMY LEA 5/3t/00 1/30101 40.00 UL'NYNNbY RO, TX 76RO1 DI1N7~fJ TX ' 76201 No response to collection efforts. ROSEMARY P NA , OUADALUPH 3/10/00 S/00/91 94.70 I T INWRIOHT 7X 76201 NO response to CO}leCtf On effortS, :OS 16000 NTWAINWRIOHT TX 76001 4g W/I~~ 201 17641 p Y MAN TODD PggJ~TCMCpApNOC&NT 9T LOVI61i 4/19/80 1/30/91 46.00 AUO NO response to collection efforts) t;. { f1.R E ~ftlX 162 AC TX 76P77 D¢NTGlJ 'TX 76201 S i i s 1 s 3 1 1 9 t , 1 f I • J 1 f 1 1~e1 1 r 1 DA1'C 1/30/81813: +V 5' FLOW McM0A I AL H 0 9 P I T A L PAOG 12 DAD DEBT TRANSFER REPORT FDR PERIOD 1/01/81 714U 1/31/81 PATIENT N1IMDER YYJ+JYYYY PATIENT IJ MC Y1VYUYYYiIa YaYUxarY GUARANTOR NAME ******MY DATE ppAArrgg p g p ` PFX NUMDER NAML, AUDR. CTY, 9~. ZIP NAME, ADDR, CITY. T, ZIP ADMITTED D19CH,1120ED WfAi 7CdpC OFBAAPCOVNY I 201 18969 p I1am KIM PLOEGER KIM 6/13/80 1/30/81 38.85 + .2%p AUDRA LIa p08 AUDRA LN I$0oal•IIFOIN T YX 76201 1DfiNTAO`Ni YX 76001 Unable to locate. 7Ol 17139 , DPLVNKL [kTglJ6 NT STATIbNW1LY%AM 76203 CUILD.FOq DRIVE Y JACNS 6457 No res/onOSe t f/30/9t 32.90 response to collection efforts. Y 101 16628 IpqL4270L6 DRIDOET L1 O CRA~O 4/2^9/80 5/01/40 d/31+/81 796. 3S ROAI'1 KC TX 76263 R rAN ItE2¢ TX 76262 NO response t0 collection efforts. f 101 20097 P TYE~t PHESHA T CURTIS 7/17/80 7/16/00 1/OO/8l 1049.35 9 5 SVILL ppWOOD 98 $ L la1SVlLLC 7X I,G.W1RRlALLE~{QWOOD 7% 75067 NO r@SpOn98 t0 collection e(fpPtO.' lot 22101 P V~~ , JOSEPH UR JOSEPH 9/,20/00 9%24/80 1/30/61 4077.05 P li4)X 730 IJTOU 732`1•' NYSU f DETQN TX 76201 UNTpN TX 76201 Arrangements not kept, 202 1619 tJELL CAMARON w Lt, , CAMARON 5/22/00 tpp DOLIVAR 06 1 DOLIVAR Mb S/30/S1 172,40 E~NTON TX 76201 N ON 7X 76001 No response to collection efforts. 1 0027 P w6k.L MARLENE - P WrLL SAMUEL 4/10/90 1/30/81 237.50 pp nnU~yl 1002 Pg USX 1002' D Iat YX 76230 DOwI TX 762 0 No response to collection efforts. 207 9517 vwellk. RONALD ~OWO[iLl~i , RONALD 8/26/00 1/30/81 84, 75 303 , ,Y PONDER 7X 76259 P%"IAL(JX 003 y, TX 76259 No response to collection efforts. t 102 20194 PPWtCRB , JULIE P W R8p{{, , LARRY 8/27/80 0/30/00 1/30/81 797,60 CIItRl1LL1~Q61T PLAZA YX '75006 0LLTOMT PLAZA YX 75006 No response to collection efforts. t lot 15110 RAMOS h JONI ROOSS , JOSEPH 2/22/00 3/06/90 1/30/81 636.00 i X11 T1 Ja TX JVSYINa TX Balance after insurance{ no response, 1 1699a RFALC RpOS R&&`ALE , ROSE 4/17/00 1/30/91 66.00 j o, Mill. 10) H39tS TUR C M'LI: RR 1133E T41R C ' Mf dFG13U NJ MCI) Or? 14J Movedl,loft no address, 4101 19660 RECTO TRACY R6 7OR TRACY $/00/00 1/30/81 32,50 14.14 IN08 MANOR 94 }1 V I1J08 MANOR ' LAK U LLA9 TX 75061 LA ALLAEA T% 711065 No rosponsa to c0114ctlon efforts. tot 14604 I?D11AND , MARY RRDN D MARY 6/03/00 6/05/00 1/30/81 29,00 0p GM~J 20000 0217 ppO :0000 N,^,i {C17 RU87AN TX 77010 FiOU9~~N 7X 77020 8alance after insurantei no response. j r } . , 3 7 1 r q 0-7 1 L,1TC 1130181 13: 45; F' L 0 fi M C M 0 R I A L H 0 8 P I T A L PAOC 13 DAD DCDT TRANSFER REPORT MR PERIOD 1/01/01 THAU 1!31/81 PATIENT NVMDL•'A 4w4w4"**4 PA771 NT NAi4E #w###w#nw wfwww### GUuARANTOR NAME w#wM#wwa A E np DALANCE PFX NUMBER NA14-ADOR,-CS-Y,-8TY---------- AO----CSTY-^9T`-T, - ADM177ED DTBCHARCEp WR~1'EOFf Of ACCOUNT » A T y , 201 17925 R.f44'G , RANDY REECE' , RANDY 5!03/80 .10 1 lfta4 RUODCLL 0116 24 RVDDELL #116 1/30/81 37 DENTON TX 76201 UNION TX 76201 Moved; left no address, 201 19535 001•:0 , DOODY Ar0•.CO , BOBBY 6/30/80 1/30/0! 76, 10 0 110X 965 pp ROY 963 SANGERTT rr TX 76266 BANGER pp LL u~TX 76266 N0 response to Collection efforts. 202 18540 T cti D~LL'A4IVERY DAV1871H7IRAI~jg6 6/24/80 1/30/81 201.25 4AK 80ALLA OR PARK 04 TX 75069 oREED M. response to collection efforts, 1 803 253082 REVD , TODY REED DOODY 10/10/00 00 965 1/30/81 77.25 DpX 465 SANOCR TX 76266 BANGER TX 76266 No response to collection efforts, 2111 19681 RE[VE8 !^G M?ADOW VALLEY TERRY RVEB YERAY 7/04/80 1/30/01 34.50 1 eADOW"VALLEY fRVINO TX 75060 IRVING TX 7$060 Moved; left no address, 101 23774 R%D , WILLIAM HID , WILLIAM W 31/09/00 11/2^4/80 1/30/81 3014.00 + 4oV C q88 TIMOCAS 4 0 OB8 TIMDCRS r LCWIl~1LLE TX 75067 LCWIBVILLE TX 75067 No response to collection efforts. r 205 1813 5ENCH , JEFFREY R[NCFAt.HA77AN JEFF 12/02/80 1 JJ 1 13 MANHATTAN DR. qq113 1/30/81 14, 30 WINTON TX 76201 OGNTON TX 76201 No response to Collection efforts, 201 1Ua09 RIYNJL!D~80X 92 CAROLYN RR7CYN0s1L~$ JOE 1!/.~ .3/80 3/30/81 139.00 AOAMOKE TX 76262 ROANdKEOX 5a TX 76268 No response t0 C01leFtlon efforts. 201 2.7682 RIQHARD CAOANNA ' lA HAR RLCY , CARANNA 30/07/00 1/30/81 16,00 17 KCRLaY 77 yy~~ D NTON 7X• 76$01 UL'~1'tlN N YX 76201, Balanee after insurance; no response, 210t 17045 ItICHAN0 DAVID ffOS:i' g WILSON R~[1kFiAADWILdON DAVID 4/34/80 3/30/81 Si. 00 j 1>Liq TX 76201 HMO9i' TX 76201 No response to Collection efforts. ` 201 23451 R CHARD ELUNDCS A C14ARD , JAM58 10/01/00 1/30/04 17.50 a"'' WILOON 8TRQE4 201 36470 ON TX 76203 ~cO~,ILeON TX 76201 BalanCd'after insurance; no response, 910 {{lR&U1;T SHAWN IIOHARD .OCUD1' , 011ARLEB 4/16/80 1/30/03 30, 00 UGflYI3N TX 76201 liN7N TX 76201 No response t0 collection efforts. 201 04060, ~~CHAADDON JUNNIFCR RJCHARPO(IJ , OUNIFER 12/00/0o 1/'00/81 40,29 11 CH RI.OTTC 2 1 CZAR OTTC NTON TX 76201 DEN~ON TX 76901 Movodl loft 60 address, f t I , 0 ~,i PAYE 1/30/81 13:45: FLOW MCMOR I AL 14 09P 17AL PAGE 14 OAD DGOT TRANSFCR REPORT FOR PERIOD 1/01/01 THRU 1/31/81 . `,PATIENT NUhiO R u~erannae PATIT4r NAM1 uasasuuna arMrt+sna* GUARANTOR NAME ******wk DATE Q~7 PATE OF DALANCE PFX NVMDe NAME. ADDR!) , Cl Y ST, TIP NAME, ADDR. CITY, ST, ZIP . ADMITTED DI8 A HOED WRI7EOPF OF ACCOOUNT { « 2-02 7493 R1s0 TONY R1CQ k TONY 8/11/80 1/30/91 113.15 tg g LOUISE #103 250 LOUISE #103 DEN7ON TX 76201 DEN ON TX 76701 No response to colleetion efforts, 202 9246 A100§ PAULA FSgA04NS EDWINNA 4/20/00 1/30/81 33.00 DOX 4 ~fOX 14. SAN0'D T4 76201 ANGER TX 762664 No response to collection efforts, 201 19557 AjLjY PAT R L Y PAT 7/04/00 1/30/91 68.75 DENTON TX 76201 D NTON 7X 76201 No response t0 collection efforts. lot 11000 RODGR5QN LAVONE RODBRSOy 0 5/02/00 5/07/80 1/00/01 215.00 lA 11017HOATE APT 2yyA 1 nRHOA78 APTS j ~tAINE.SVILLE YX 76240 GAIN8V1LL8 TX 76240 Balance after Hedicarel no response. t 201 15789 ROD R6 0N LINDA 42YOW00 LINDA 5/'31/80 1/30/81 $7.60 F WQODFORD CT. 4.' WgDPORD CT. DEN ON TX 7620I CN ON TX 76201 No response to c011ecti0n efforts. ,t 201 20382 fnpODGNtt~Y}GON JCWCLL 05R 0014 J T 7/96/80 1/30/91 122.85 LLW~SVILL 711 TX 75067 HWISVILLS TX 75067 No response to collection efforts, L11140A RRDS1~UEZ CARLOS 8/21/80 8/26/80 1/30/01 1036.45 X101 17665 70^tIOVEZ ff i U~N OMRIARCLIFF TX 76201 DENTONR ARCLlFF TX 76201 No response to collection efforts, ~a01 19332 000tP6 CAROL RO$qCD8 CAROL 6/23/80 1/30/81 159.45 p, 0 uOX 29 P. % 29 ' LAKS DALLAS YX 75065 LAKk,DALLA6 TX 75065 NO response to collection efforts. R 4/00 1 203 1386 yDODINOVROH JEFFREY nG'RnNLDINDURON 7X 76201 D LITXA 76201 Ho/oeSpOnse t0 collection effortS01 52.50 D cN ;101 16147 nnGUAR, MARY RfsnlSt6(R~RIDCE PATRICK 5/31/80 1/30/£11 442.47 i' Box JVSt1 jN T% 76247 oATGeVILLa TX 76928 Balance after lnsureneel no response. I 201 20060 R088 ER14COT tgN , eRNES1T 7/15/00 1/30/Al 35.55 1 f ` 30 MrORSE 13 MORSR 7X 76201 No response to collection efforts I{1 DL~NYON 7% 76201 ~ENYD14 101 19861 PRpOp(ID ~py OARY pRpOS11 , GARY 7/10/90 7/1l/00 1/30/81 443, 50 i LSTYLGXCL TX L1977ltl.GXELM YX 75068 No response to collection efforts. 1 210 3682 RONAN JANN18 92 WAN IlggNNCTH 9/10/80 1/30/61 16.50 R7 4 ilHCAWOOD PARK 490 qq SHERWOOD PARK #90 TX 76201 No response to collectioA efforts. DGNYO TX 76201 DE ON 7 `t K y, I }e ' { F l a , ATE J/00/01 13; d 6: t• L 0 (4 14 E P f 0 f f 1 p!. H 0 S P 1 T A 1 PAQE 13 nAD DSDT TnAN8FEk REPORT FOR PERIOD 1/01/0} THRU 1/31/81 ArIEN7 NUMpprER ypxriluMUHPA_rr]gg1147wNAMS kM1MMMp11M raaaupur CUARANIQR•NAME rrr«aene g pp ee pppp gg pp gg r 'f'% NUMDCcR NAME, ADDR, CITY, $7. ZIPwrNAMU, ADDR, CITY _,_E_'r._Lz ADP C7SED D78CHAROSD EOT 5Ofa oFOAACCUUNT 1 ru • nu u ruu nruru r w uwr.uru Mw-rrrrnu IT 9 wwuwrruy wyurn w r..urwr Pot 22675 'n0Y JAMES RD; tt 8YLVtA 10/06/80 rr w, i 4 WINVIttLLE rX 75067 156WISVILLE YX 730b7 11/30/81 44.90 02 0980 Roy No response to 0011ection efforts, 1 3? MORSE VERONICA ROY VERONICA 8/20/130 O NON rX 76201 f~ENYO""SE 101 19684 R ^ 1 /30/81 112• tl0 TX 76201 NO response to Collection efforts, ~YAL EDDYU OYA``. EDDYE 3. 10LINOIS N237"6 E tI.I,INOiS 0267 7/04080 1/30/81 64, 95 DALLA TX 75216 ~iI.LA9 T% "2116 ;01 17979 RUFF NO rosponse to collection efforts. 56 N, WOOD DADDY RUFF ^KB11'H 6/30/80 7JOl/80 1/30/81 N)ON TX 76201 13kTN WOOD 220, b6 DI Oh J 7X 76201 No response to collection efforts, tot :1542 R^N$AoRva RITA R N Au~pVEn3 03 RR • ELMIRE 0/31/00 f .3 n 1 AfjWDOD f 1ABWf1OD 1/10/01 33, 2$ LEWl13VILL6 TX 75067 LEW BVII.L 7X 55067 1r E03 4964 RVVa" LARRY No response to collectlon efforts. q0 R HR~~,LL 1/30/61 99,00 i 016 or D6 ROSE ST LARRY $/10/80 1{ OLtiIt ON TX 76201 0 NTDIV YX 76201 F 99 69810 DAL98 NO response t0 o011ection efforts. DAVID BALE 01 2i 964 S ` DAVID 11/02/78 11/02/78 1/30/81 T . DO% $3C RIP+I+Y AY X 50 0 EWIS LL 7X 70067' No response to collection efforts. ~Gr+Lt~~U NXX 77 OEORO[A P O UNX 7771 I ' MONYY 9/01/00 9/09/00 1/30/81 360.03 1kWr1VILLEI TX 7$067 LfiWISV1LLH 7X 75067 01 20443' q6MITHpq FRANCI7$ VIA balance after insurancel no response. BNVOEgOX 50 Ox 303 flRIAN 7/29/80 7/31180 1/30/01 1075.00 7X 76201 TX 76201 No r06pOM0 t0 cOlleCtlOn OffOrts. 01 23975 O I , 11/16/00 11J21too 1/00/01 2769,00 K UM7H OMA rx 76249 U 1UMrH WEDL6Y TX 76249 NO response to collection efforts. 02 1009 EEStt7AnNLk,g , JASON STARK 8 'JAMES 18/03/79 !2/05/79 1/30/81 pfTtN'~OPT t ROWS 388, 95 rX 76201 OGNONU7 1 ROWI'. 9 64770 B1'UDLEFIIiLA SARAH YX 7b801 No response to collection efforts. ! , gTUDD4~RIE1fD . SEWN SARAH 2/07/79 2/07/79 1/30/81 00.50 76201 SEWN DLL 149 TX 76,201 No response to collection Nforts. i 1 19977 01UM X4~ONIO ' MARTHA y 11 !/36/81 82.9$ 0% 07032 OY17/90 07832 &pNUAMr011 1O MANMHA No r06p0nse to collooticn efforts, ~~tt( { fr UATE' t/30/6113:46: FL01) M C M 0 A I AL H08P I TAL PAGE: 16 1 BAD DEBT TRANSFER REPORT FOR PCRIOD 1/01/01 THRU 3/31/81 PATIENT IJVIIO.R YY4111YYM PAr ENT NgqME Y***YY*;* *Y****** 0Vt,RANrrOR NAMC ******0* DA7q Dpprrgg pppp~~•gg F BA ANDE FF% NUMBE NAME AOOR, CITY, 97. 21P NAME, ADDR. CITY,. 9T+ 1[P ~ ADMITTED, DI90HAROHD 805SORF OF ACCVN7 i , 102 7680 TRRpISTfiH , 1410HACL '(RpIET911 , MIKE 8/32/00 9/14/90 1/30/01 193.68 MIF,Gi~AL1lWCLL 7X 76067 M1NE1lAL WELL Tx 76067, Arrangements not kr,;)t. 1 6232 WWHIIF I LD ANNA J~N1tt7NNFICLUp , ANNA 11. 10/00 1/30/81 312.30 No response to oolIaction efforts, D r140NNA1pLf•ICAOOW 9201 Tx 76201 NYONAxfi t4HP M:bl TX 76201 102 1837 WH{IIFFpI(-L RRI' ~ TAMMY wQVITFBIOIyDo , PAUL A. 10126/80 10/28/00 1/30/81 720.50 ' P[1,f, IMIP TX 76288 PtL07 In1T TX 76259 No response to collection efforts. 102 16763 WILLIAMS TANCSIHA hLLIAMN DAVID 6/27180 6/29/80 1/30/81 241 55 DEWON CRAWFOAD TX 76201 ALNTONC AWfORD YX 76201 NO4od1 left no address, , 20% 19000 yyRk90N MARY ARRNOLD, f,. L 14DA 7/10/00 1/30/91 103100 T+it: RANCH RT. 1 RT THU RANCH BOX ~ppAA 'JOE TX 76247 oU33TIN TX 76247 No reSpoASe to oollecttOA efforts, 199 60186 WI KRBAUER ARTHUR W NTF0AULR ARTHUR 1/13/78 1/13/78 1/30181 364.70 1 77 JACK8014 ~7 g JACKSON 1~DN1't?R CO 80•"10 DNVER CO 90210 No response to Collection efforts, 101 iGtl26 J N 14ARYIN WYN A MARVIN 4/11/80 4/17/80 1/30/93 670,32 2 3 BOX VIA RT. BO% VIA i DCNTCN TX 76001 DCNT N TX 76201 Balance after Insurance& no response ) { 202 7567 NIDA BLAB 2UNI0qq , BLAB 11/16/80 1/20/81 105+25 j UNIONTTH LOT 019 TX 76201 DCNON"3TH LOT' 19 7x 76201 No responsel then moved, left no address. 1 TOTAL BAD DEBT WRITS-OFF THIS PGRIODJ 79033,87 j i y i f. ..e.r~...~r.......a.....raw~.wr.MMw..+..r+++...•.+ w.w..... ..u.,......- _ _.~,,.v y p e i e r F S t C Y s 1 DATE 1/27/81 10; 02: F L O W M 6 M 0 R ,1 A L H 0 8 P 1 T A L PAGE 2 ACCOUNTS RECEIVABLE ACCOUNT STATUS WORT CHARITY CHARGE-OFF LIST IEN PAT. PRFX. NUMDRR OVARA14T R ADORE88A+EPHONE R%C IN ppATG MEDICAIgD N IINggDUE PATtRNTDDUE RVR~t,BJALiD RA~1«ECT ,r 2oDAY20S991 EVA 7WWINMLAIAVSRgYpT EVA 94 9/10/@0, 100,40 93.20 SR3:78 78 TON TX 6201 3079372 Balance after Medicare. 2002NET37370 LOPUMDERLAND1CITt2TNT37090 4973965 91 9/14/90 458;$Si8ll l1 100.00 l 1S$:8881dnCe after Medtdara and Medicaid, M S BL~1NT241364 LLONROLOWBEAYAUNIA 99999 LEILA 09304 7 11/21/00 1o0.0Balance after Medicare andRtMcaiQ, X9:88 BR1NC164796 AL760 WF.LCN BRA14CH ALTA O1 4/01/80 30,00 136,88 4E TON Tx 76201 Balance after Medicare and Medicaid. BYROM MICHAEL BYRON LARRY 9qq 8/09/90 900.00 4072. 0 101 207217 R[T i 9 8/70/90 363.63 363,83 PtLUr POINT TX 76295 365-2073 Balance after payment from State Crfppled Cg c `g o 81 :88 yy tlo 02 118992 W 417 W, PRAIAI AMOEAB W B 8i %22%OQ 490 l2 284 158: AO : PO 64.52 7464 S,2 AENTON 7X 76201 392 7877 v Dalanco after Mediocre and Medicaid, e gg q8112 p 02ND 10942 "OhAlaLOUIBftCNONTX~76201 3870696 8 1 3%89" 184. 40 397, 40 a;;:4'8 Indigent carol low income. r, OOlNO 10542 AN~4vi LOUISECkfit IDLER TAMMY 82 8/29/80 190.OO35, 15 39: 19 r KNTON 1•X 76201 0970686 Indigent caret low ineome i~ E 7l:YTOF5574 EL?tt7OER 6rH OLAYTOi1 7.5266 4ELDON 593916 91 $%67%8$ 444-12-012 100, 00ndigent coral N111-Burton 001 Cr0lterfa; 81 £ . 0 4 f02YT0 5576 ELpON By 6f CLAYTOR ELDON 97 11S8g/88 ,444,-12'-012 100,00 7b ,10 0 180. 84 198:84 SANOrR tlOIf2~ T% 76266 4993716 q Indigent, carol Hill-Burton criteria, 7a tr Soiegld7903 90 11 N,g734 NTCBTArXT76203 7600774 a8 6/07/80 No Incanai in VA Hospltel t3, 00 13; 08 i_ K ~ ~ 9 1 i r i ,C 1 4 } L l ,A d fir. •w _ _ _ _ _ `I~w:rtrwl~ir-s~i~111ax~r~rrY 4 Y~II~IYY11 ~ DATE 1/27/81 10:09: F L 0 W M E M 0 R 1 A L H O S P I T A L PAGE ACCOUNTS REC81VASLECCACCnOUNT 9ggTATUS REPORT PAT PR p C g i g g 3 Ug T . FVaIUMDER OUARANUVADDRa86A'M►EPHONE R%C 618, DATE MED1OAID Y I ti. :t DUfi ~ TYGNTp13UE CURj1, 80~~ED RA 88lYECT ' Tr ppx AA 4 3a 5E187583 ZIADENTR134 N7 gr A TXT76203 7BARRY 869774 6g b/09/g0 No lncomet in VAIHospital ?br OD 36, 30 EN tl 996p PARR 888"187583 DARINDENOX 11COROUTT76203 NONRY 8O 9/11/80 900-00 qq66 I TX 96-00 96.00 p pp No income: in Vq Hospital 001 221457 9R ANQEttOX 304 X T% 76966 BRIAN 8O 9/19/60 900.00 02.50 32;00 i DpUU q gg tl ggo Denton County jail, ~1V2CAN6b332 OEHNITON E%ANDERNO TX 7620L 387 DEBORAH 2585 68 a%p %90 100-00 127yr r 0 49.00 49, 00 ' OUNHAM RA HEL ppUNHAM ;ACHAEL 9R 12/16/60 Balance after Redicaid. p f` l 140658N30AVON OR TX 76901 3606197 b6 00 b6~00 2 ~ T N a05ER194571 D0N4ppA90MCHE zz20ENTON COUNT 84 1/06/01 Low fnCOM41 Hill-lurtOn criteria, LEWISVIL2E TX 75067 36.00 89;88 ~ Denton county jail, ,~OOH30?1$Rli LORFNZ0 ON CO JA 111NTYN1T%L76701 E~ 1/14/01 46,00 2,6: 800 l DentgA County jail, IpF VCpN TTI GRIFFIN VENETTIL 9 1/10/01 900,00 f 001R096693 fi NOC OX 6354 TX 76266 402 3906 . 151'00 ~81r80 ~ Li 0 "Low Incomot Hill-Burton Wteria, +04WELN34t9 HAbNTONRDINAI/IQCX476L01 3021332 p9 12/15/80 900.00 22 62, 20 6~, 8 qq Low lncomet 811148urton crlterfa. ' 1041~`L43385 MA4 DJAIJ~ROLNgUARW LL EUGENE 91' 91/01848 009,30 100 p b 4 i ' NT X 76ROI 307103? 1224, 40 009; 4S ;I t, gg NN bow Incomes Hill-Burton criteria, 20ZL 249808 JApM kToN COUN7YLbAIL JAMES1 66 4 1/09/61 900-00 130.00 100 80 N7 0 N TX 76201 D t Denton County Jail. f :w~R~rrr.nr ; e ' 6 - t ; r t i F : DATE 1/27/81 10:31: FL OW MEM 0R I AL H OSP ! TA L PAGE 4 A ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT PATIENT NAMkMBER poUU ARAN CC p p g Mgp Q g pp IN p gg rr gg 3 r : PAT. PRFX. NU OUARAN1OR AD EBSA+EPHONE R%C DOS;DATE MEDICAID N IN ;2 DUL PATY6NTp~/ DU& p0}~~ D~~L D AiI«EC7 ~10H2N80t64 0229 MI BNY NMCRINNEYTOX 76201 38256!1 88, 8/21/80 900100 40; gp 42. so 4 90 JpNE9 nEYTV g4 lib / Denton County Jail. J IOSE1116734'6 DEDJNT4NDDELL p~163X 7b201 383-4b97 2 11/ N8 160100 p 1 ♦y ~ 3361 24 336;$ NE8 RALPH D JONES / 0 Balance after Medicaid, 4apb X01 182162 RALPH 97 6/g AVOR.81 TX 76227 365 2163 6 6/00/!!0 00 a88,05 35tl9;09 µ NDRED KAREN µIN LOW incomes Hill-Burton criteria. DRLO KAREN 8~ 1 239764 PAISLEY I I 10 //ja 166%90. 100100 4 j DENTON TX 76201 1 9. 24100 ' ~A; ~ 00 10QSTa3 JASON R gOp~g NN L 0p q I]/p/ ppBalance after Medicaid. t 6804 WLE778rPl pD8~~N78088 2KIMDERLY 1447516608? 80 424219901 40.00 '10': b8 yy pp LL Balance after Medicaid, q 2olH 254276 GADENION C9U4YSJAII GARY 84 1/06/8f o DENTON TX 76207 9 143100 14 O.OS MC2ppETk ALMA MCppgg H ALMA 04 11/06/80 1 Denton County Jail, 382:4 11O0 a' 3YCAMOR J 8 800688871 6y ,50 Di NON X 7b201 NONE Balance after Mpdiohid. 001 09 30, 00 m pp p~y s B01LERl8a^00 JERjEtl1 MSADOWILIbER ANNIE 84 4/998/80 560100 ,00 DL'NTON TX 76201 0173833131 2 4274008»01 24100 $;5 Balance After MOdicbtd, pp44 y: I .N^09LE 40972 ELCa9ECNTON ARROLLE0 76201 067_8800 .81 10/03/30 1162503g248 100.00 94.$0 St4; 00 U pp++ aa lan6e after Medicaid. , i 'AT'OV21168 D1.V1 00 COM~ANCH~ir1'N ^ GARY 88 4/18/00 33 A, 1 p F7, WORTH TX 79777 2370+797 01,00 Ol: ' NN QQ LL q Misunderstanding With Medicaid, t Q 1EN206507 JODENTQNI LOCUbTEYX 7624! 3887293 98 11/03/00 900,00 17o,00 18; 8S LOW Incomes Hill-Burton criteria, i OWN 4 it_ 1 1 r DATE 1/27/81 J0; 4J; R L d W M E M 0 R I A L H 0 S P T -T'A L f AOE 5 r •:,l A000NTS ROCEIVADLE ACCOUNT STATUS REPORT PATIENT NAME ?OkRRR MMA p p g M pgg d PAT. PRF'X, NUMDeR OVARANAO~RppEk3giEpHONE, N%8 UIIS; PAYE . MS0 ~SA10 Y 1VS: 2 DUS ATkSNTO0U6 JUOXh. D~LALL D ~ATINEC . i SOSER259072 ~ARUATA 8g Gg EgQLVfiaRpA ALICE 57 1/23/82 900.01 IAK DALlAB MATX 73065 NONE 4 Low 1noOM41 Nit1•Burt0A criteria. 66'00 201 0 RISKg DRYAt'CL RICK 91 6/14/80 bg 5 S gg DENTON TX 76201 low inCA1101 N111•8urton criteria. 68 60 S02IL189910 RIDja7642 6RYASEIYX 76201 RICK 9 12/27188 900,00 36.00 36; SS pp etJ~ pppp I 1 2AZ150359 MA H W.LOUISELAIZSLd 11ARCOS pq 1 /i0/p p Low Income; Hill 6urton criteria. EN tlN tfX 76201 NONE 2 1S/iS/QQ ,4Va1400f 150, 00 11.40 Z11; 4p • q z 8014MCe After Medicaid, G t 50, 0o 268AZSH0054 MAEgDH N T U N tl W,LOUI SLLA~i %576201 NONBQ9 S1 12/07/00 ' 429314003 3.100 1188 i qq g o Balance after Medicaid, 10LKE2tObZ0 STO ST 1011A$ 03GKTX 76201 387V0686 akj 9%~2%So 900, 00 35 , C 02.35 SII, O6 f l+1LOR M 11R NN PILOR MM ARYAN 4 1/14/01, Balance after Medicaid. „1 b ZO1 a5b933 N7qN COUNTY J 4 ' NTON 7b20tg 06, OD 036 88 s 4 PREraMOppgg944 D RApN Y' 8Dipp5TR$$ B RANDY 8$ 12/II6/00 138: Denton County Jail, 01 ZS0NTN COUNTYJ76Q01 9 ,g 100, iI0 NT N pppp Benton County Jail. ~ODI~~94944 RADN7QN COUNTYgJ~L76201 RANDY t3$ Si1/R9/SO 44.00 A4. 88 g C N R 4 $ g q p r q pp Denton county jail. i 1060 153544 JO u~2Q CARRJLLEtID JOHN C S1 ~~%,4%&S ,43YOSSbR40 ~60 SS '91: N ON TX 76201 04, 00 pB ggyNOLpS ASH A REYNOLDS JAN&TT S4 9/04180 150,OO1WO After Medicaid. - y p 1 .1 1701 F55tlS7 ~ N ONE[0 TX 76201 NOW 6 S O a 96,00 S Balance after Medicaid. 1 m,n '1 t; 1'i 4 , 'C , N .•.....w••._ •,,.r.... Jam" DATE 1/27/01 10: so: F L 0 W M E M 0 R I A L H O 0 P I T A L FADE 6 ~JJJ ACCOUNTS REC6IVABLLE ACCOUNT STATUS REPORT CCNNgg gg aa pp gg rr TT II i PA7?EPRFXAMNUMflER QUARANIQRRADDRE89A+EPHONE R%D DIB.DATE MLpiCA1gD M pp IN8,1 DU8 ~AT~ENTODUB CURI2,$DALED ~praCT E i 1IIEY24071G H 70, N WOOD R1NEY HAZEL 81 32a //W18 150,00 16,00 9{6,00 O NTON TX 76201 302 2407 a v Balance After Medicaid. R2g88 2$6073 HOWARD CQUNYBBA%76.01 HOWARD 8s 1/212/81 ' I E TON TI ^ Yf 114, so iia 68 1 Denton County Jail, g 77gg %AN $4346 KEgONHERW0OD11PI;K7b?PS NONE 18 8 7/2040 42636$$01 16.00 16,00 T 77 12/1 6 Balance after Medicaid. a c9 , 0308. 141OW 248062 EpREW1060ILg4ANOWTx 7$Ob7 7801f4i2b 98 /88 900,OOw income; Mill•Burton crit 14 3808: S R011C10462 FRANCEO STRICKLAND FRANCES 6/01/80 200;70 , 3 B 199;8; L q7 EALLA$ TX 7C068 8174572716 ite ia ~ gs HH yR 4 y bbg Low lncaael Hill-Burton criteria. 202KE113605 AR EN ONINKLAMU 767003ARTHUR 87320!1 81 11/10/80 td1 1~91~0 100.00 28,40 1 18 r Bapalance After, Medicaid, g a pp pR p a SO$$g12958s $E La AI U ~ I89NANT MEDFORD 81 711G,2188 1039749-D1 l80 DO D0. 00 1x38.80 3 ILO# POINT TX 76269 Balance after Medicaid, k J({ 1~ 1 K T ; t r<: r is . DATE 1/27/91 11:07; PLOW T1EM0R I AL H 0 9 P I TAL fA09 7 C ; PATIENT CLASS COUNT PASS NT INSU8ANC2 TOTtL 1E DU OUTPATIENT 4 147.20 .00 147.20 INPATIENT 17 0,846.77 00 M866.77 EMEROENCY 00 1 p 849,09 .00 1, 914.69 TOTAL A/R, 51 7.860r 06 , 00 7# 420.06 r , 3 P y {I{I ~r I s i t I , it t, ¢ s Z r zti a rf FLOW MEMORIAL HOSPITAL BOARD OF DIRECTORS Q W BUSINiSS MINUTES_ DA V - ls December 18, 1980 Pago The Board of Directors of Flow Memorial hospital met in regular session at 7:00 P.m. on Thursday, December 18, 1980 with Mr, A. E, 14yatt, Chairman, presiding. Other Board members present were Dr. A. M. Finlay, Mr, Ralph Havenhill Mr. Brad Moore, and Mr, Gray Shelton, Also present were Mrs. Wilma Fritz, Mrs, Sid Graham, Mrs, Gloria Madewell, Dr. J, It. Miller, and Mr. Leonard Watson. Representatives from Peat, Marwick, and Mitchell were present to present the audit report--i.e,, Mr. Mike Mitchel , Mr, Al Cloud, and Mr. Larry Rayburn, The minutes of the previous meeting were reviewed and approved as submitted, The auditors were introduced and asked to present their report, As previously agreed to, Mr.'Rayburn pointed out that tho audit had been completed prior to by the December Board meeting and that the Medicare Cost Report would be completed the end of the month. It was pointed out that there he in net patient Service revenue--due in part to an i ad ncrease in been a patient 20,8% days iandncreassthe e in increase in patient charges--and a 4,8% increase in net patient expense resulting in an excess of revenues over expenses of $209,169.The accompanying ma, - ent letter was also presented and reviewed, Mr. Wyatt asked the Board members to review the audit report prior to the next meeting, at which time the auditors could be asked to return. The monthly financial statements were reviewed, and Mrs, Fritz presented the Monthly Financial Report, She noted that the average daily census for November was 90 ,0 and that the month produced an excess of expenses over revenues of $8,534, Cash collections had decreased from the prior month to 79,8%, and the number in accounts payable had increased t the a of da to 58-62 in days, The Bad Debt List in the amount of ~ $81,970 and the Charity Charge-Off the amount of $287 Moore moved that the Financial Report sbeapproved; thiion 2was were Mr, ( by voice vote, s mot passed ti seconded revi and Mrs. Fritz reported that the $126,000 certificate of deposit at the Pilot National Bank matures December 23, 1980, There was some discussion concerning disnt position of this CD, Or, Finlay moved that the Administrator be authorized to renew the certificate at the Denton County financial institution offering the highest rates for a period of 3 to 6 months; this motion w 9 intere Mr. Watson explained that the interest earned on the CD would be voi, general operating fund, ddepassed posited yintoctheote The minutes of the December Joint Conference Committee were reviewed, That committee had discussed the possibility of locating the Home Health Service Agency at the hospital instead of at the City-County Health Department, Mr, Watson explained i~ he had mentioned this matter to Mrs. Hutchinson, who had Indicated ~ss this further, The Administrator will secure more informationbeforesane to deration is made, The Joint Conference Committee had also discussed a rece i nt *Zprnel situation regarding a nurse who had been terminated, and this matter was ~+Yf nevbwed by the Board of Directors, Dr. Finlay moved that the Joint Conference f&!^t be accepted; this motion was seconded and passed by voice vote. The minutes of the Safety Committee were reviewed by the Board. The Safety Marsha, Revisions to the ommittee had made recommendations a regarding the recent inspection by the Hire ' C and Tornado Disaster Pl had and approved by the committee, Dr. Finlay moved that the SafetynCommit Gee Reported be accepted by the Board of Directors; this motion was seconded and passed by voice ( vote, I + Mr, Watson reviewed the,Quality Accountability Committee's minutes and commented on the current studies being reviewed b that committee, Mr. report be accepted; this motion was seconded and passed byvoice ovotewed that the ~ I~I:n yty_~~N AFI II(i1, 1 A 111 Al CO 1[AI•_--,1?v,W VT•~ 4 11 4 S.A. I I IXJq BOARD OF DIRECTORS BUSINESS MINUTES Date December 19, 1980 Pigs The Utilization Review Committee minutes were reviewed. Mr. Watson explained that the committee had fulfilled its responsibility in reviewing Medicare, Medicaid, and non-governmental admissions and lengths of stay Dr. Finlay moved that the Report of the Utilization Review Committee be accepted; this motion was seconded and passed by voice vote. Dr. Miller reviewed the minutes of the Medical Staff's Executive Committee Meatin He reported that Medical Staff officers had been elected--i.e., Presid,~nt, Dr, Arvin Short; Vice President, Dr. Roger Nunn; Secretary, Dr. Robert M. Lockwood; Members-at- Large, Dr.' R. S. Croissant and Dr. T. L. Moore. Dr. Miller distributed three applications which had been recommended by the Credentials Committee, the Executive Committee, and the appropriate clinical departments, and these applications were reviewed by the Board of Directors. Mr, Havenhill moved that the applications be approved and that J. R. Jones,M,D. be appointed to the Courtesy Medical Staff with privileges in family practice; that Tommy L. Neel, M.0. be appointed to~the Courtesy dedical with privileges in OB/GYN; and that Michael Flynn, Ph.D. be appointed to the Allied Health Professional Staff with privileges as a Consultant to the Physician— Psychologist. This motion was seconded and passed by voice vote. Mr. Havenhill also moved that the Board of Directors accept the Medical Staff's Report; this motion was seconded and passed by voice vote. The Policy of Flow Memorial Hospital on Bargaining with Employees through Reppresentatives or Third Parties was distributed. Mr. Watson explained that this policy had been approved by the Board of Directors several years ago, and requested that the Board re-affirm this policy. Mr. Shelton moved that the policy be approved; this motion was seconded and passed by voice vote. The Flow Memorial Hospital No Solicitation and No Distribution Policywas i reviewed by the Board. The Administrator explained that this policy differed from the policy previously approved by the Board in that it clearly'specifies the portions of the hospital where solicitation and distribution of materials is prohibited, Mr. Shelton moved that this policy be approved by the Board of Directors; this motion was seconded and passed by voice vote. Mr. Shelton discussed some of the topics presented at the recent HMO workshop which he, Mr. Watson, and Dr. Short had attended. He stated that he felt that it is an interesting concept and needs to be investigated further. The Administrator presented a proposal to increase hospital charges, He suggested that the room rates be increased from $103 to $115 for a private room and from $93 to $103 for semi-private rooms and that all other charges be increased from 10-12%. This proposal was discussed relative to the need to increase revenue to balance the increases in expenses, Mr. Moore moved that the increases as proposed be submitted to Blue Cross for their consideration, This motion was seconded and ~F passed by voice vote. { Mr. Watson stated that he had been informed by the County Auditor that the hospital would receive funding of $113,000 in January and $113,000 in June. The Board asked Mr. Watson to prepare a plan for the January meeting regarding the disbursement of these funds. The Board members requested Mr. Wyatt to attend the Employee Christmas Party to extend their compliments to the staff for the work done the last year in improving I services. There was no further business, and the meeting was adjourned at 9:15 p A. E. Wyatt, Chairman and Acting Secretary li FL014 MEMORIAL HOSPITAL BALANCE SHEET DECEMBER 31, 1980 * 1979* _ 1980* 19y4* - 1----~-~ Current Liabilities: Current Assets: $ 610097 $ 33,971 Current Notes Payable $ 6114 66,612 $ 483,111 Cash--Operating 917 Accounts payable 218,436 112,656 Interest & Sinking 17 , 727 5,417 Accrued Payroll 39,660 127,650 Reserve Fund 1,412 6,680 Payroll Taxes Repair Fund 1 194 776 Bond Interest Payable 525 Group Health insurance 66,000 6,000 Investments 236498 1989217 Fees Fonds P yablPayable e 130,421 1050793 a 327,845 $ 245,060 Total Current Liabilities $ 1,235,423 $ 940,340 Total Cash & Investments $ Accounts Receivable $ 2 1765743 $ 1 961,073 Other Liabilities: $ 2290063 $ 196,241 Less: Allowances 243 896 288 096 LLoong Term Income Notes Payable 397,801 316,856 Net Patient Receivables Fonds Payable 495 0 _ 560.000 Other Receivables $ 331,787 $ 317,913 $ 2,357,287 $ 2,013,437 Inventories 263,277 198,364 Total Liabilities: , prepaid Expenses 34,568 25,849 ' Capital: $ 1,6960871 $ 19696,871 Total Current Assets $ 2,8909324 $ 21460,163 CCity Of ounty Denton Endowment Flow Estate 240,461 2401461 Property, Plant &'Equipment: $ 37$47 $ 375647 Fed. Grants, Hill-Burton 1,868,910 1'256,370k Land- 21957,707 Federal Grants 256,371 Building & improvements 29994,492 3 922 120 3 528 981 Pledges and Gifts 372,800 326,602 Furniture & Equipment ,9 ~1 9 --t- Gen, Fund 8a1. Beg, of Yr. (944 652) (1,153,821) 3, { .79 43 Current Year 65,925 Accumulated Depreciation 3 537 346 3 205 36G 318,869 Total Capital $ 3,949.8,51_ $_3,707,895 1 l Not Property, Plant & Equip. $ 3,4__ __b 3, TOTAL OPERATING FUND $ 6,307,138 $J ,721,3324 TOTAL OPERATING FUND $ 6t30 7t138 $ 5721032 Current ratio 2.34 c * Includes audit adjustments f ,?n `j r{ F • -2- FLOW MEMORIAL HOSPITAL STATISTICAL DECEMBER 31, 1980 NT YEAR -TO -DATE P R 1 0 R Year-t_ Oa C U R R E N T MONTH tuaI Budget- Actual Budaet 9c_-------------------'-- 8,695 89280 8,468' 2,960 r 2'790.0 94.5 90.0 92,E Adult Patient Days 96.5 1,075 Average Per day 403 476 1,196 358 10.6 13.0 1T.7 Newborn Patient Days 11.6 13.0 Average Per Day 298.55 $ 253.37 $ 298.55 $ 291.65 $ $ 297.21 Gross Patient Revenjj-/Pt. Day 249.86 $ 214.81 $ 254.31 $ 249.85 $ 251.83 $ Total Expense/Patient Day '4 Chant 8ad_Dgbt Recover Mo~.th $ y,117 $ 28,023 $ 61,326 6,285 Octobor W29,827 $6.439 52249 - November 32 56 y December $ 18,651 $ 90;412 $199,735 '7.9 % .07 x 3.5 of Revenue i r, II r i FLOW MEMORIAL HOSPITAL «3 - STATEMENT OF OPERATIONS, DECEMBER 31, 1980 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Ot er Expenses Prof1 .(_Loss). Daily Hospital Care 18 $ ' 1~3>140 - ;16`- 622. -,U4070 $ - Psychiatric Care 6 54,071 21,916 6.04 22,420 310651 OB/Post Partum 5 44,020 11,7.67 990 12,757 31,263 ICU 2 14,400 130166 10152 14 3,18 82 Nursery 3 24,695 10,501 1,679 12,080 12,615 Neonatal Nursery 1 51200 109161 292 10,463 (6,253) Coronary Care Unit 4 37,710 27,908 3,344 310252 61458 Labor & Delivery 3 26,615 16,231 3,536 18,767 7,848 Operating & Recovery 4 36,040 15,720 19,778 36,498 642 Emergency Room 4 30,456 11,058 20,997 329065 (1,599) Central Supply 7 58,503 7,670 16,196 23,866 34,637 Laboratory/ Blood Bank 10 833716 42,410 42,410 41,306 Radiology/Nuclear Medicine 7 64,134 15,628 250545 41,173 22,961 Pharmacy/ IV 14 123,684 9,443 34,489 39,532 04,152 Anesthesia' 3 29,145 10,068 10,787 200856 80290 Cardiopulmonary 2 18,687 5,539 99684 15,223 31464 Respiratory Therapy 5 45,035 10,134 65051 16,185 289850 Physical therapy 2 13 644 5 578 658 6 236 7J08 Total 100 x 71,087 2 6,658 19 ,133 96 019 ` Deductions of Revenue $ (41,470) $ $ $ $ 41,4,70 Charity & Bad Debt (91,184) « 91,184 Eanployee Health Ins. Exp. 10,748 10,748 10,748 Medical Records 180 9,036 10330 10,366 109•166 Gift Shop 1,561 19127 15666 20782 (1,221 Cafeteria 8,312 23,951 23,818 47,769 39,457 Plant 15,014 399836 54,849 64,849 } Housekeeping 20,767 5,007 269774 25,774 Laundry 7,603 19647 9,200 (9,260 3 Fiscal Affairs/Data Proc, 79045 3,046 10,091 10,091 Business Ofd,/Cr, & Coll, 21132 80828 30,020 30,020 Purchasing ,4 721 29163 (2,153 Personnel 3,047 723 3,770 (3,774 Administration 5,856 51831 11,687 (cite Stuff Education 10708 141 11849 1,849 General & Administrative 767 22,142 229142 21;385 Depreciation 27 413 27.413 27 4 Gain (Lass) from Operation 1, ' 4,210 Non-Operating Revenue 28,185 8,186 3 Foundation 4 313 4 313 'total 8 7 133 5 1 3 53 2 288 i ,i aw"j. F w LOW MEMORIAL HOSPITAL STATEMENT OF OPERATIONS, YEAR-TO-DATE, DECEMBER 31, 1980 - 4 % of Salaries Supplies Total Direct Operating Daily Hospital Care ReV°---o- 9 - ~---4 4-Mu & Benefits & Other E nses Profi oss Psychiatric Care 6 164,2437 G~ 08/post Partum 5 121,731 39'294 ~ 42'901 98,342 IOU , 2 50,200 ' 3,550 ,844 78,887 Nursery 3 65,025 41,498 30317 44,816 6,385 Neonatal Nursery 1 31,582 4,787 36,369 28,656 Coronary Care Unit 230800 29,653 796 6,651,) Labor & Delivery 3 114,115 ,686 11,630 88,206 809 i Operating & Recovery 4 10510 80 42 40 80+4216 11 2$ 8,$64 45220 Emergency Room 3 80,880 3 6,032 359191 , 029 Central 'Supply 6 162,681 23,128 64,725 99,757 (18,877) Laboratory/ Blood Bank 52,789 75,917 86,764 Radiology/Nuclear Medicine 18 1949079 45,714 156025 121,988 131,502 Pharmacy/IV 14 349,350 26 437 1009739 93,340 Anesthesia 3 76,931 ' 92,878 119,325 230,035 Cardiopulmonary 2 31,523 230696 55,219 219712 f CaS40 6atoryy Therapy 5 609741 16,469 30,017 46b486 Physical Thera 120,961 32 150275 481259 72,702 . py 1 31 590 ,96 3 j Total 100 % 15 9 6 3 1 116 17 079 2 1 '2G4~ $8~6,39L , T,~>9 t ; boductions of Revenue $ (127,225) $ Charity &'Bad Debts ( ) $ $ S $ 6127,225 Employee Health Ins. Exp, 261,966 _ 261,986 Medical Records 573 - 53'291 $3,291 91 Gift Shop 27,328 4,194 31,822 30 949 f Cafeteria 4'175 3,431 3,436 6,867 (2;y92 Plant 27,549 70,431 71,360 141,791 (114,242 x- 450397 1039767 Housokeeping 61,653 149,164 (149,164 Laundry 17,127 78,780 7$,790 F1sca1 Affairs/Data processing 22)377 6,475 280862 283852 Business Ofc./Credit & Collection - 21'840 11,772 33,612 33,61.2 Purchasing 6 1248 22;321 86 569 87,052 Persnhnel 4,248 (6,569 ` Administration 91281 2,439 11,720 (11,720 Staff Education 180128 13,184 319312 31 312 General 9 Administrative 3,298 60152 483 6,636 (1,686 Depreciation 61,093 61,093 7,791 79 836 7 83 7 8 6 0a1n (Loss) from Operation $""~53~J1`5' ; i Non-Operating Revenue 70,462 11-:4 57 Nuhdation 12 920 70,462 TOI0 1`I9'6"j" 12 920 _-0-L 190 405 6 925 i; i i I FLOW MEMORIAL HOSPITAL SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS DECEMBER 31, 1980 Current Month Year-to-Date i Beginning Balance $ 47,023 $ 22,839 Cash Received from: Active Patient Accounts $ 647460 $ 1,9440400 Bad' Debt Accounts 5,249 189651 Cafeteri a 8696 289666 Appropriations/Donations 8,943 37,710 Other 159,476 167 783 829 414 2 197 210 s Total Cash Available 9-- ; Cash Disbursements: Payroll $ 3 $ 9439393 s Payroll Taxes 42,826 122,987 Patient Refunds 31,073 64,444 ` Capital Assets 100,000 1080198 Notes Payable 7,471 24,611 Other 327,518 897,049 Total Disbursements 817'070 t . 21160,682 f, Cash Balance $ 599- - ' 367 $ 59,367 y Cash ICVestmetltst3g6 236 498 Total Cash { Gross. Patient Reveune $ 871,766 $ 2,517;193 { Less; Allowances 51 374) 172 348 Net Patient Revenue 92 " Cash Received on Patient Accounts $ 647,060 $ 14440400 ' Less: Patient Refunds $-T6 b,0'`'l64,444) Net Cash on Patient Accounts g ,Y Cash Received as a % of Revenue 75.1 % 79.8 % }j i°. i ' 4 1-14-81 , t , Z p F f 5 r , r -6- FLOW MEMORIAL HOSPITAL AGED ACCOUNTS RECEIVABLE SUMMARY DECEMBER 31, 1980 Primary Payor ant. _ 31-60 61-90 ~1-120 121-150 150+ Total_._ of R r Medicare $ 217,6b) $ 62,290 $ 7,119 $ 232 $ 2,392 $ 1,247 $ 290,969 15.7 Medicaid 11,449 3,607 2,870 1,488 21006. 33,598 550018 3,0 Blue Cross 71,667 44,147 28,627 2,916 81198 1659655 8,4 t Commercial Ins, 320,391 889748 14,230 6,320 1,323 12,613 443,625 23,9 ? Self-Pay 296,637 138,578 47,537 519564 210851 178,321 734,488 39,5 Balance after Ins. 57,177. 23,876 40,718. 25,291 _ 20,756 92895 177713 9,5 975 O1Q 361 246 141 101 87,811 48 328 243 ,8 72 $ 118579368 100,0% -7 a In-house 333,664 i f Total Accounts $ 2,1911032 _ Number of Accounts: 7,842 Days of Revenue, Accounts Receivable 67,6 In-house 12.1 Total 79. 1-14-81 s , i L "3 n I J~J Ji • ~ 1 FLOW MEMORIAL HOSPITAL CHARITY CHARGE-OFF LIST DECEMBER 31, 1980 NAME b ADDRESS AMOUNT REASON j Bar.ia, Inf. M $ 109136.40 Hill-Burton criteria, 1301 Myrtle, Denton a Bursaw, John $ 21450.05 Income reduced; indigent care. Rt. 4, Box 54, Denton 19598.20 i Babek, Kathy 144.65 Indigent care; patient transferred Unknown, Roanoke to Wichita Falls State Hospital. Campbell,, Patrick 69.80 Indigent, care; no income; balance 3209 Heather, Denton 16.00 after insurance.. Chappell, Willie E. 86.25 Balance after Medicare/Medicaid. z Box 835, Denton a l I Colligan, Patricia 2,214.60 Low income. 451 Fox Ave., #102, Lewisville Cross, Charles 36.00 Denton County Jail. Denton County Jail Delarosa, Jose 910 S. Locust, Denton 638.25 Indigent care; low income. Delarosa, Mary 792.35 Indigent care; low income. I 1224 Dernard, Denton Downle , Eva Y 55.00 Low income.. 612 Boardwalk, Denton , Geor e, James gg 2084,25 H1.11-Burton criteria, l Rt. Box 118, Argyle t Gomez, Faustina 39.50 Indigent care; low income. - I 2800 Ft. Worth Dr., #55, Denton i Gunsolus, James 33.20 Denton County Jail. Box 266, Hocks Bar Rt. Oklahoma Hara, Jenny 2,386.55 Hill-Burton. P. 0. Box 9237, NT Station, Denton j Hawkins, Rick 93.50 Denton County Jail. I Denton County Jail. t Hall, Lovie 63.80 Indigent care; low income. 1126 E. Sycamore, Denton •3 Howell, Misty 1 297.61 Balance after Medicaid. P. 0. Box 342, Chico E, Page 2 Charity Charge-Off 12-31-80 NAME 8 ADDRESS AMOUNT REASON Hughes, Charles $ 5,261.65 Low income. Desert Sands Motel, Denton Jaramillo, Encarnacio 16,00 Balance after Medicaid. 601 N. Bradshaw, Denton Jobe, William 92.00 Low income, 2501 Bell`, #55, Denton Lynch Carlet 439.05 Hill Burton. 1208 Anna, Denton 1,184.15 Lynch, David 80.50 Denton County Jail, Denton County Jail 32,50 McIntire, Charles 61,60 Low income. Box 141, Aubrey Y McKee Jesse 16.00 Balance after Medicaid. 221 Diane, Sanger Merritt, Oeorgia 16.00 Balance after Medicaid. 2505 S, Bernard, Denton Munden, Lovee 20.00 Balance after Medicaid. 402 Cardinal, 0.3, Denton Pemberton, Donald 41.00 Denton County Jail. 625 Ft, Worth Dr., #11, Denton Rhodes, Jack 87,90 Denton County Jail, Denton County All i,. i. Sackett Charley 89.50 Patient deceased; no assets. 3000 A Augusta, Denton Sell, Ricky 37.50 Denton County Jail., Oenton County Jail. ; Walker Arthur 13.00 Balance after Medicaid, 2500 Hinkle, Denton Wong, Winnie 205,60 Hill-Burton criteria, 807 Oakland, Denton Yu, William T. 68.50 Hill-Burton. 2206 W. Hickory, #205, Denton Fleming, Doniece 60.50 Rape case, Carroll Courts Bldg., Denton . Perez, Candy 216.05 Hill-Burton, ! Rt. 2, Royal OErtks, #50, Denton j E l yr a $.t 1 E 5 i - Page 3 ~ Charity Charge-Off ~ ' Oscember 3J., 1984 hlAME & ADDRESS AMOUNT. REASON Perez, Carolyn $ 67.60 Ni11-Burton. Rt. 2, Royal Oaks, X50, Denton Perez, Melba 1,223.00 N111-Burton. Rt. 2, Royal Oaks, NSO, Denton 293.75 Perez, Trinidad 323.50 Ni11-Burton, 821 Rose, Denton 42 50 TOTAL f $ 32,561.87 i ~ kf i ~ ~ 3 1 I f } e - ~ i~ j dt,. ' ti~ ~ 1 ,1 ' , 3 E ` ~ f ! ~ ~ ~ {r K~ i ' ~ ~ H~~ ~ i y ; f 1-9-61 E rf s ~w.. 4 f ~ }i~ ~ •y t ~ ct i~ R~`' , "owl DATt; 1u/;Meo ' 9. Jti. F .L U'w M L M D •R I A L H 0 5 P (.Y.^••L.. . „ , PAOt t DAD DEDf 7RAWFEH AUPORT rMU PERIOD 12/01/(10 THRU 1P,/31/00 PATIENT N11wSER a*a*s**=* PAq (r(;•NT NAME pe!#*e~rk* r',00-r14?1 C(WMNTOR NA119 ****0*** DATC DAT DATV OF SALAI?C1t PI.'X NL',JL:R NAME, ?DDR, CIYY, UT, 2113 NAME:, ADDR, CITY, (IT, ZIP ADM1T7E0 DIECHA~QED WRITSOP!• OF ACCCL,NT wr.. Vrr V . r w..rrr------V..wrwV.. w.y ..r..rVr..rr... V..rrr Vrrrurrr-V..w..--Vr rr..wr Vry rrrr.w Yr - -------I0! 1990$ ADDD'TT MECCA ADnOTT ) JOE 9/16/00 9/t9/OO !x/84/00 88D. 55 J236 CRESCENT 1496 CRr oEN7 t LEWI8V1L8 TX 78067' L5WIUV,LLE 7X 75067 No response to collection offws' ' 1 22269 ADANG VALORIE ~1DAMS r VALERIE 9/73/00 18/24/00 86.00 P~l 11O% .2760 PO 11DX 2700 DE TON TX 76101 UUUuh:NTON TX 76201 Areangemonts not kept, ' 102 14993 ppDAY , DELORES ADAM O. CALVIN 4/15/00 4/10100 12/84/00 16L 55 P. DUX 2137 1> U nOX 2137 1}SNTON TX 76201 DENTON TX 76201 ArrangemontS not kept. 101 17034 /L~ rIn , JOSEPH qq1,iC~'f1N JOSEPH 5/12/00 5/13/80 12/84/00 100; 00 9 1 bFRNARD nC5 OOl ANNARD (ICS ChN ON YX 76VOt DF.N1'0N TX 76201 No rOSponso to C0116Ction efforts, i 201 19179 AUnT1N r TERRY AUM V r YURRY 6/19/00 12/84/00 34.75 057 11TONECAYE 317 F1 dNVOATE LI1118VILLC TX 7777 L:E11;VILCH TX 77777 No response to collection efforts, 101 17910 DADCMNG ANN MAILEY r RUVOCLL 0/14/00 0/16/00 12/84/d0 1 ^0.60 n'b IiU;vli u!9 NOdr 'r CL'NTGN TX 76201 DEMT Uy (X 76801 Floyed; loft no address. 101 11746 PAI11 DANNY DM14 DANNY 9/09/00 9/11/00 12/24/UO 24. CO ` r??.. CHARLOTTE 04 5AN1.13 Min. 07 0 lNT~gN TX 76POI M"NTON 7x 76801 MOYCd1 left no addrdss, 3 101 24049 BAUL1if1 MARY OA~1l.L~ MARY 11/10/00 11/21/00 IQ/24/130 007.30 1:114 !A'E02INOO 13 4 OTINOO DIiNT011 7% 76001 ~fiN'Ur YX 76201 Movedl loft no address, 001 V4045 D/.EILRA , MARY D(NUU.'n r MAIlY 11/10/00 18/24/00 56.05 1~t M07IN00 M14 !OZ1NOO > L` CNTUN TX 76601 vroWUll TX 76201 Mevodl loft no address, Z02 14704 US/KnU:S r DOYLE pE~iS r, r UNA 0/L2/00 12/24/00 101.00 qq kU 4 wtj41 ON YX 71,801 DLN/ I T 0 N TX 76d".01 NO rOOOnse to cOllocti0h efforts, F .O1 7.0104 Mr-'C)m) JOHN MIn E.Cpp 12/24/00 Oa, 50 MIX 2313 PT r+ S" ,313 SHDY OHOR RUYCE 7/19/OO UADY ti-iDAUT TX 0 DCNIM14 TX 76201 Movedl loft no address. 201 020309 04dHCR JOHNNA n1C9.0 r CLGO 0/07/00 18/24/00 54, s0 E 4? 5 i'EJE.TON IJ109 1 4]9 ULTO,N 1!109 DUNTON 7X /6201 RN'roW T% " 76201 Me responSo to collection OffortS. i I 201 9!2100 IgiLACIS LAWAVNC(( L1ACt , LAWRpNCG 9/17/00 18/114/00 60. 1,0 11L6TUNLLS TX 76201 tg14IrIiL!"s TX 76701 No rosponso to collection efforts, r ~ I 1 IE 4 F i I 1 1~s`1 . , , • DA7G iw/24/CO 9.34' rL QSJ 14&PSdR i AL HhBp 17AL PA05 R i ~ DAD DEDT' YRAN."+PER NEPDRT f•'UR pJSRiOD 12/01/J30 7HAU 12/31/d0 PA7SENTrNUMAIIR uuuaaaaaarPA~~f~~T NAMLr-arrYr~n,tuaa aa•>♦aanau pUARAN~OR NAME aaa,raaaa ppAT~ DAY J1ATE hF DAI:ANCE PpX NUMUCC•H NAIIC. ADDR, 8T. YIP NAI1G, ADDR~ Cil'Y~ 8?~ Z N ADhIIT ED Dit3CHHA O4D RITGDFP' OF ACCGUNT 1 j _ t ~ l0f 1131'/ CLi~YLOCIi E1~A l.A ~IAYLOCit SYCV{~ 5/37/DO 12/v4/00 3~3. ti7 NCB.^~ Ur,i.E:N PARSt APT~i ii rR; H4lYyt12 'tm~;411.CN PAARSt lZ NW4 43 ti OA1NE5vILLG YX 7b240 0,11~;b°3VSLLH TX %b240 ArrongemCnts rtot kept, .701 70940 DLAYLOCI~ i THEREDA Di.nYI.4~k1 + 7HGRGGA 7/30100 fZ/a~.4/GO 34, 76 bl,£? SJ.BYCAM4RE 03 Gl8 I, rCAMDRI? U3 I Uf3NYUN TX 76201 DtiW'EUN YX 76301 Id0 rCSpOnSO t0 CO110Ct10n OffOrls, i 107 l233 t!D7H'.lFiI,L ~ P.R7hlUlt ~CIYFI:I!il.L ~ AR'fiiUR G/Jt3/i30 G/24/£10 12/24/b0 453.60 I t1C:t LL'Rp 4B 1EM3 7U7 I.f)UN .208 SJFIt3 L4~J1'OU 7x 7b.~.01 D::IJT011 TX 7/,201 D1ovOd; teft nU Oddross, 20l 1702;2 Li(~'nJ , FJUGa+iY JriRDAN r OZ;OROtYTG b/34/GO 12/24/00 3n. ISO !r ;I LA7TIMORN. 1;; G,9 LAYY1h10RC l Ut:?lr0.+ 7% 76?01 UE.hJYtIIJ 7X 7b2G3 No respons0 t0 cOllectlOn Offorts, J .n.US 30719 CI UCER" . CL'[JNiG Di UCL? i DFRN16 p/7.5/40 !w/3A/80 283. 79 , •R~ r. UDX 4x77 AA R~ DOX 447 AA ~ i ~ UGhJ'fUtf YX 76.101 CG~JT~)1J Y% 7b203 IJO rospou50 t0 CO}1CCt10n 4ffOrtS, j .Ol .x..2912 CIJTLf;R V1CMi UU'fLti11 , VICil1 10/O1/GO 1+^./24/J30 64, %9 j~ I]C,1 VILLAOF (:11302 t'//U4 ViLLAOE 65~~202 I F C.:?I'rUN Tx 76401 ~ DL'N10N 7X 76~01 Eiovod; loft no Oddr035. 101 SEi503 ~~OLE GLADII CA01~t: r li UUGN b/03/tl4 l2/2a/80 416. `0 1. f0 i4000RIJICIt i1 11CCORInICJt j U..i;YON t% 76(301 ~U~J nrl 7X 76203 No rOSpon60 t0 COtlectfon Offort4. ~ ~ ^.Of 70711 CnRXY pD!1fiRT rARwY , RICkARD 9/09/h0 ~ l0/2A/DG tS9,B0 ' ~ ~rlYrd, dAHU 7P RY 3t J103 4+U i1TLL1NOWAl^. N, b, R ~ Di.a,1'UN TX 7G~01 Nuftf'C7f,15 VA 0 HO 1`OSpOnSU t4 CO110Ct10n Off0Yt5+ ~ J02 51 G9 r,5RTG11 , DRA!JOUN CAR'iGR , 7HONA8 7/15/DQ 7/lb/GO f2/?4/00 306, l0 i , r dt;a'U 1'i TAN TRAIL 3U.~D 71TAP1 YRA]L t4.I.fON T% 71,.^.03 U[:NI'UN 7% 7G~01 NO raspunse to collection efforts. ~ ` 201 2U73b CA^.•Jt'L~. ~ 7g1•INSL+ND £o~U^,E:IL TDWIJ5f1ND g/Od/80 12/~4/HO 9b, 60 ~ ~U i2U 1DIiLL OD7 .,t74 i1UDDGLL 01)7 I ' ULPJI'D!4 7X YG201 U.aJ'fDIJ 1'X 7G?O1 NO rC5p01150 t0 CO110Ct10R OffOYtS, 1 r'. ~ 101 9SG3d CrJA ~ ALf'OtJ50 SJT'Jf~iR!1 , MA1'IIA 9/U3/60 4/09/40 IlY/.".4/h0 ','~9b.04 Lilr`=G~A44A8pAlt 41~J 7X 7'01>S! LAKIlLOALLl~f1PAft 413 7X '/rDGU NU r~~411UnSC tp CO110CttOD CffU1'tS. j ~ 1G1 id147 ~ CF1Ur1~i.EY , NAR2tEN 127UrIULGY , JOHNNY 7/O4/OQ 7/49/£10 lQ/24/J10 300, bG 1 F'fIIUCD T% 75034 rRi5t74 7X 70034 Uglaneo offer insuroncoS no response to eolloctl4n ~ Offl r I 201 1E3034 f~Lnltlt ~ DANCGL Cln/~f2K ~ t~(ItJTCI. b~t~/GO la/aa/t3o 2A,Oi} l 0x GII% LAKE kAVLsN 84 Uf3tS f.p' 7 LA1',f~ H ^'JG'N C f 17U13 n~} LAKL' pAL~ABi TX 76068 LA1tE UALLAO 75065 a{forts,oftor insurencot no rospon8o to collootton i ~ Ik 1 ~t ~ , ? ;s.~ , ' :q' ' I r'~ tip; SS: - ~ ' i ~ ~ ' _ i fL . 1' ~ ~ , ~ l~j {f }I t I}~ 5 1 ' i DATE 111/49/00 9; 39: F L O W H E 14 O R I A L H 0 8 P I T A L PACE i DAD DEDT TRANSFER RCPONT FOR M IOD 12101/80 THA(1 ISd/31/AO PAYISNT 1011n R *k§**4,1*o PATIrVT NAM5 naa****u* **1i*b*4* QUARANTOR NA11£ a1**§***r gg pDQT1 DA F GAL/,tvCgg PPX NUM109 NAi4C, »ADDR, 011'Y., »6T,»ZIP NAM ADUR, CITY ,_5T, _ZIP »rM»» .y»»»»~~» ADMITTED OJtiCRARCLO WR~~UOFF OP»»ACCiIUNT 1 16341 CLARK MARIC CFt`Y ARK WILLIAM L 8131/80 12/94/00 515.00 Drrlt'CJOX 343 TX 76201 DUN1014 34, TX 76201 No response to Collection efforts. 201 20149 CI,+'Jai i M1CHUL D CCgLAN , NICKALI 7/10/00 SIl/174/00 iii D nYfwOP C00 UL»t TX 76.01 D00L' MNOP 2e0 I!L-S TX 76301 No rosponso to Collection offorts, 201 16041 CLARK , NICKAL CLARIS NICKALI 3/19/00 12/24/00 30,09 31`1 1NDUD7R.IIL 91,1 1NDUJTRAIL UP,`'701i 'rx 76001 U;NTaN TX 76201 No response to collection Offurts, 101 14577 CI,E."I MAN , NAM' CLE~R'I,VJ , HICFIAOL 6/27/00 6130/00 12/24/00 1189. 00 9)0 !S:t.L AVE. OF ~)7tt9 M,'LL AVE. 41F DF~,iTG,q TX 76201 pGr wl YX 76"01 Arrangwents not kept, 202 23780 I..F.11 , KATHY C1, + WMETH 11/11/00 12/24100 179. to v0 nou 131.0 Post 0LN'rON TX 76401 RMTEN TX 76201 Unable to locate, 101 l003S CL IN1;rMPGA1{? GIIGLI.SY Cu mfl'111R/'". VGANON L 9/04/00 9/06/30 12/.^.4/40 877, 70 013 rfAWA1AIt Itli: PjANW. AN l •.i,rc 1 Tx 76201 D::NTOrv TX 76201 No rosponso to col loction Afforts. 30l 20179 COht1r3 RRDECCA COMIS LOUID 7110/00 12/24/00 44, 00 ; DLN1iGIjAYTIl1ditL 79 76201 U04 31\1 fYI11ORE TX 76201 NO rosponso t0 Collection efforts, 1 19939 QOC1:r1A1~ , JASON c1guA`AN JIM 3/14/00 12/2h/DO 45, 50 11O( 46 t x n RUN TX 0 It1+UMG6~ YX 0 NO responsu to collection ufforts, 101 1977 CO./VIF1 L KATHY r,) 1',CRI:I.L KATHY 4/,^,%/00 :3/02/00 112/24100 99, 40 IdH1T65D01RU TX 76273 YI11IItt'ii%1Ji,f7 TX 76273 Arramwvmts not kept, f 4dG1 19913 C t !N1 , JOE Crt1.I,21t3 , JOL 7/1t/OO 12/24/00 Oil, 50 0 bug I O;i i EIDALLAS Tx 73065 LAKR DALLAJ Tx 70065 No rosponsn to a011e4tloA efforts, 001-Llil'1 , JOHN C Ll.ln JOHN d/0?/79 ^Ot 7640 , 12/24/E0 520. 50 111, 1h,60E 9T, 1115 4~h J,IUCC OT. G9 1;;.:, 01 TX 70..01 Ul•s4TV,4 YN 76:01 Arrange+IUAts not leapt, 0201 23397 Cr1;SY , Ra.VIN Cf3„Y , KEVIN 50/29/40 1 1i~1;1 F:AW a APT ^.05 9UD l:AOLE APT20D 1','. /24/00 Oi14M14 TX 76201 D.:VvN Tx 76::01 Unable to locato. 201 .1490 ONAWd8 0 CRYSTAL PAiIf(InD , OGOACE 0/30/00 12/24/00 61,215 II p D. X t01 O tux 1011 1 LA a I KE DALLA TX 75065 AKB DALLAU XX 75068 NO rOSponSO to collection offorts. ~ III 1 ' S I I~> d 71 F DAYR 12/29/00 9! 39, F 4 O W M 0 M O R I A L H 0 0 P I T A L PAUL •4 DAD ORUT TRAN13FER REPORT FOR PERIOD 12/01/00 THRU 12/31/00 PAYITNT NUMLPA 0140„4000a PATIENT NAME :00014 r+o00**** OUARANT R NAME o•»a0000e DAY g ppY~ ppAY OF LAL0%1 E PPX NVe,30 NAMCt ADDA, CJYY, ST, ZIP NAMMe ADDR, CITY, 0T+ ZI~ AOMIFUD dIOCHA GED 6I RI MOFF+ OF ACC VNT SOf :03:A CUEU'IAI1O NANCY ccUS`UI1".rfn NANCY 0/0Wso 0/12/00 10/24/90 660,"0 RY e, OOX 202 E RT 4 90X 252 F. UL'14TCN TX 76201 WITUrI YX 76201 NO response to COlleCtion offOrts, 101 204,13 DAV `TRY , VICKI DffllITR`~ RONNIE 7/16/110 7/10/00 12/24/00 379, 60 1013 Sl. RIDOE !0 3 r1,1 I DRC GAIN-c,JILLL•' TX OAI1n::)'V,ELli TX 76240 No rotponto to collection efforts, ! IC2 9900 DAVE) EULA DAVIS ANDREW 6/2:4/00 6/27/00 12/24/00 67,15 U00 LC , A RD 1'X 76240 j~O3LIlf21'Y AD NEiI: 1; C Tx 76240 Arrangements not kept. i 201 1;0010 .DAVID JAI1E9 MV19 . WINES 7/14/00 12/24/F;0 9x• 75 R f 1 npX 44 RT 1 1302, 44 0 a ;,a TX 762+01 K:1';MA TX 76201 No rosponte t0 Collection efforts, s lot 19902 DA.) I E; ROMRT Rr'IYG R05ffRT 7/j 0/00 7/12/00 12/24/00 452.70 ftT 1 uox 11]2 li'~ 1 DOX I(I'm UAIId:OVILLU YX 76240 GAINEOVILLH TX 76240 Arrangeunts not kept, :.'01 21496 L%') 1ti alleRY413 PAVIR , DOIIALD, 0/30/00 0/214/00 41,50 i - J3'3 C. ANDRU9 :'I I{, ANDRU0 Clli;!.L'r.Y LA 70526 ~ri.:Ill.c`r LA 70526 NO response to collection efforts. aU) SRb3. !r)V1l; S' , TDREwA 9/13/00 12/^.4/00 V). 40 r rC tfiA SX J/3 k1 U rnx ,373 C ifl AST iiAF,Y VALG TX 73086 EV1111 7X 7,006 No response to colluction efforts. . ZD , RILI. 6/09/00 6/11/00 12/24x00 d9. 74 101 1OC103 rf 006131 DI? RC. ; Rr 1 ixX L% lil` 1 r~Ukg 0•)7 0ti1nr.vjLU TX 70140 CAtiailiVtLLG TX 76,40 UalOUCO after insurance; no rusponso to collection 20 16520 nul4?IU',1UX HA'JLE III;V(:,jt'AUX 0 1{.LIAM Ql`-hlilf/a)J 12/'14/00 47. 25 11 `CIIJ.IJf~ORp 311 f.IlAllf'f1frD!' DLNyull TX 76201 14;gFUNI 1'X 76201 No ruellLnse t0 cuilOetfOn efforts, too 14025 ff VI1 : KRIGTY I)"VIY" VfSiINCN 6/rya/f0 6/29/00 L.^./24/00 30, SG z F+.O 1 OX 401 P 1) I'13Y 401 JU:S1'iN TX 76247 JW t IN TX 74247 Dalantu after iusuraneel MD rosponsv to 201 1211192 D1+0r+ + YIJOMA9 D1X{)N YLIOhiAO 0 cti5y4';et)~0 VI'f01'tS. 12/24/110 00,75 117 W'flNAr?0 f 4477 MINNARO UDJbly LO IOCOtO, Uit4TU:l TX 76001 DL14TLIN YX 760.01 305292 DOtjI-1 + 1100 DRAGEHAII ~l)i 'uD!I DRAIMHAW DDO 6/03/00 40 S L rr, ,~II ~L1.NTU11 YX 76201 D H'fON YX 76201 No rasponso to collection efforts, I 201 16070 DUNLAP I ANC7 U14 AP r GCOR06 4/1'0/00 L2/24/80 ,00 ~09 CC( 11WD01y ! f ` KiTItft IALL P 0 009 4 DEN .4 ~x 7b2o1 LAHOIIA CIYY etc No response to collection efforts, i' .i 4 rt } i i :d DATE 10'/29/60 9140: FLOW MChI0R I AL H0EP I T A L WE 5 HAD DHDT TRANSFER REPORT FOR PERIOD 12/01/80 TWRU 12/31/00 Iraa##•aa DATF DppY6AROFD 4f }}yy.4 > SALAI:C" r 1 PA P:IJY f2AhIE #w##aaaau o##,+aau# CUAhANTOR NAME AD14IT 'f2p DIECiJ PATICNY tIU#tPl°R ar;+raa++aea YYrr --Tr--- OF AGCU~NT PFX NUD1GCrt NA11E. ADDR, CITY, 0T, TIP NAME. ADD}2,NCIYY.-67_.'11P---_-_y...,..----- 301 10333 DUNN , ROIi0h1A DUNK , ROHONA 5/36/60 13/^.4/00 e4, GO ' i'W30 NORTH LOCUST 016 2t::,f?ORTH LOCUST 4i t6 Yk 76201 Balaaoe after insurance; no respOASO, 1)L.I71'ON TX 76301 DQ.tJ 'O~ 201 19127 Dl1Y,N SARAH DUNt figX 09 LOT 3 DONNIG 5/"0/010 its/34/i0 Oi,00 RICYLIOX G9 LOT 3 TX 76236 ASIT WLS TX 76226 No reSponse to collection efforts. l A;211GOQ , MARYY 0/14/60 0/17/00 58/24/30 30. 09 101 21010 401, IOQ1) Y.> VIN 4pE, Ih YE UAK 401, IITC Ot,K TX 7&461 NACOQUOCI;W TX 7`13961 No rosponse to collection efforts. iJ CUCfUCFIGu 17`7 61464 CLCANCJIUt UrLhIA ELpANI}'.,',III JOCCNW S/2d/70 3/05/70 Sf?/::4/OG 673, 79 Its PRICE 75067 LEWY.^IVILLC TX 750,67 Arrangoitents not kept. 101 14794 fa.I.r3 FELICIA CIti711 FltN VALLEY r 8T11LE:K 0/14/60 'x!'/17/00 S2/24/60 SAO, t9 t,Lm ,)LVALLEY SENTUM YX 76805 ArrangomontS not kept. b:ilJl'0~1 T% 76@OS 1 uO,W FL1.I9 KAREN SLLTO OARVIS 7/30/60 12/213/00 276.75 I00~ LAbNr GCO CLADNEY ~,W-SVILLL'•' TX 76340 0,1N`EbVILLf: TX %ba40 No response to collection efforts. 1:LLIri , MILDAED 10/70/60 III /i4/C0 1.0. 50 r 302 2It4 :LLIE' 1JE.>N !l. DOR y7 rte, : JP% t+% 76201 linable to locate, i LI:NTIr`I T% 76301 oLNT(iN YX BILLY 7/7/00 1^./24/00 116, 00 201 20417 ~,ru*ARV HILLY CP - .1RY I 14 AVk E 112 S ENHI'G,J 4 lE ,1118 TX 76201 No ro,ponsu t0 collation offorts, C:34TON T% 76301 UI ;01 ID/tJ.2 E'r.7tri , IZuRANNE ~1I'1101 RUO.LL IN4 ' IKC11 q/ii/~30 IV/24/LO 13,55 IOU ftUDL"LL 4514 2L.J 1'X 76:.01 II Fi, 1'X 76..Oi Nu r ,poilsu to collection Worts, 101 1960r Ea ,,IIJ HILL v,wm , DILL 7/01760 7/04/60 13/24/60 1007, 16 I;I rf LAIIC E311 U 24 111 2 I.AKIC G14ORC 74 (ON TX DI;N I'U N TX 761101 NO respOn50 t0 C011tCtibn BffOrtS. 12/94/00 :0. $0 302' 6190 F~/x51.13 , 1•IfiLlt;flA GVAN7 • . MII.l.1E 0/04/00 JIU FRAME 1:{0 Mf7Z11J00 !onse to Collection offoets. UI:IJYU11 TX 96201 D,1 OW 2'X 76001 NO rusi «U1 19011 MANCY V-6' mOtI ROD61H 7/00/00 12/W4/VO 101,60 t?.,1ILA J FT. HOltYW bf4SVa {r.:un;nYw 413'/ i••, ulq 1J 2'X 76.101 AI1•angulhents not kept. j , IX %6'+~,p1 UaN1' , G. u.! X 1 r y 4 I D1 20793 FAHCru}fA1100N . DAVID FAROtHhIIs>ON , TGD 0/07/00 la24100 23,70 b4 PGfkIWI ALE CT 54 -'AIIjIN11L6 cT LAKE JACNIWON TX 77066 LAK ',)AC CON TX 77066 Lo rosionse t0 collection efforts. 1 i _ _ f, -A, r+ DAYC 17/29/00 9:40: F L 0 W M E H O R I A L H 0 2 P I T A L PACQ 6 DAD DUOT TRANSFCR FIVORT FOR PERIOD 12/01/80 THRU 12/31/00 " PA tENY NUIIEIR uarauuuuu PATIENT NA1IL' a~uruaasrn rruanti»0.a OUARAMM NAME +ranavo*r, DA 1'E QATT DA 6 f~F pALA.IiCC F; a hurE:;Ek NMSQ, ADDR, CITY, ST, ZIP NAME, ADDR, CITY JT, IP ADMITYGD 91£ HA OED WR TBO F OF ACCOUNT rrr r~rrrr r,nrwyrywrrrrrrW rwrwwwyrwwwrrryrw rrwrr n,r.,_rrr.wrrrrrrrF rM_wwwwyw., rrr rrrrr rr w--- -----rru rrw rwrrr,.wr 101 14370 FATHIMA SMA KHAN OHAFCGULLA 2/09/80 2/11/80 12/24/00 130.00 Vol) 11 HICKORY 04 XWO III HICKORY 09 UL•rEYUN YX 76201 DENT0N YX 76201 No response to collection efforts, 102 19199 ~ 1133 , SHARON RF1A,VORS TOMMY 10/07/00 10/09/00 12/24/00 1399.39 FSAIho TX 70034 fr112SOO TX 79034 Arrugments not kept; t 101 23410 F01% r:DS7 , NORMA P;'R1 A~lDCZ OLANCA 8/27/80 0/29/80 12/0$4/90 276,.40 I, 1,'41 LOUNE 022 UUIGE 022 VC IT[ 0*1 TX 76201 D3rfi0N TX 76201 Arrangements not kept, 001 2.^.909 F14:111 LRUNARD E t1 t1 , LEMWID 10/13/80 12/24/00 4O, 50 1.2;1 v '0112Y OFACH RO 110. I•'9LLEYBEACH RD L,~ 1t. 4:LLAr3 YX 79063 LrrSC DALLAS YX 75065 Unable to locate, Doi '0409 hLrlt:;:: OU:11E VL~RF.O , MARCHALL 7/26/80 IP/34/00 81.33 COIT 12.1 COIY ~L.rEIGCE TX 76201 a4TO14 YX 76201 No responso t0 collvctlo., efforts, 001 19333 VOGOI;TY , COWARD rQC7TY , COWARD 6/^,3/80 1:./24/00 36,tO ; AT. DUX 89 LOT 16 E 'Mt' 89 LOT L6 6RO, : TX 762'2'6 A110 YX 76226 No rosponso to Collection efforts, 201 19733 F0f;TM LINDA 50:70.2 , LINDA 71WOM 12/1414/00 13U. s0 P. 1 OOx 130 U. 8nX i30 ei,uo-l TX 76249 Kf,Ur1 YX 76249 No responsu to collection efforts, t.ul ^1168 VOO'IT JERRY F9U IT J1'Aity 0/10/00 13/24/OO 43.00 1*3 VILLAU EAST' 101 t`60~1 VILLAOo 9AfT 101 D..N1ON TX 76301 UY,NTON TX 76201 No response to collection offorts, 201 221101 Fox PATRICIA PATRICIA 9/17/00 12/24180 35,5$ j W[Rt1NA90 161085 YX 76201 0%M rLiJl?Oi1.1DU 11200 YX 76201 No rusponso to collection offorts, 203 9100 VA r: 4 1N PAYOY 0 f ,1rr.t.Ir1 , JAiI'.U E VC40/00 W414/CU 65, DO )l S ! iICAN 910 DUIXAN u1 ~E?Ora 1'X 762 01 ULriTON TX 76201 No rosponsu to collection efforts, r 101 lA?D3 j~•gpANKLI CHAVAING RqANISO , JN D 7/I1/00 9/14/00 13/24/80 95,06 kTnOX 10 1iT 1 DOX 10 HUADOW LAK VILIMV, DRCA'i'ViE TX 76331 H NTUR % 76^J4 Arrengcreents not kept, 201 220.6 Ft'a4NCFl MARY ANN F REPICII , NORMAN 9/0.0/00 12/94/00 40, 50 A0,rl0t0.»10.000 llLVD YX 76262 1~1u11,C0~uali`"11600 x 76:69 No eusponso to collection efforts, i01 L'3731 WICH2I1,>TrL4 ' TfIGtYtKti 7b307 IiJCIS3+fATFnL~fl ' r}10X+`4 76307 Unable~tooloeotie, 12/24/80 46, SO i I v • , rig: a , i r , DATE 12/29/80 9:40 FLOW 1`1 E110R I AL H 0 B P I T A L NACf; 7 , DAD DEUT TRANSFGR RF.RORY 1707 PGRIIID 1J/01/00 YIiRU la/31/o0 P.SYIENY Nl'C'i ".R kau'+na'nnn " r NnN«-_I., AOD_„ CPAY -N1------ ZP--NAME, ADDki M CITY TY C OUARANT R NAME DATF. F+ FX NVPf:il:k IA7 OF ITY, f. TIP NAVE, , ppqqYE gg « _ « OT_, IIP AUl91YYED DIOCHAROED 111111'EOFF OFUAICCCUtJ'I 201 23315 CAL00 IlIIa 1INEf} R0\'N16 ~w r `rr«« « _ NY 8 uOX 4 CORRAL PAIN Fi4 0 ,OX 4 CORRAL f~ARA 10/26/00 12/24/!30 70.00 Ait0YLC YX 78026 ARM TX 76226 Unablo t0 locata, lot 20616 o/.RCI,1 JUAN Of,RCIA n ox 1191 P 0 flax l91 JUAN a/02/00 0/05/130 12/94/60 Fitt G'.J TX ' 75034 Fft IwG O 6Ja. 35 1 'fX 0 Arranr~ements not kept. 01 16327 OAt1CIA MARY ARCIA NICK Sr:ilq CORDELL tt09 ('Oi 9/00/00 !a/`d4/d0 100, W2 DEN1'r;uJ f,DGiLL TX 76701 YX 76201 Arrangements not kept, 9032 17f194 c%r,MtiN , FRANCES nr2f,A.N , FRANCLS 7/00/0o 'i~% i~UDDELL q0% RUDDSLL 12/241 00 107. E•0 JSi lC6i TX 76901 U:IITG,J ` Tx 76 n01 No response to collection offorts, 01 20767 (`1'11^ TT AN70ldiSYTE: ry•;' f" f :IUDGLL ST. S10% 3J4r UpDELL ST, ri07 ANYONVTL~ 0/06/D'0 l</E4/110 $7. 90 i rr7uiv TX 76201 DI' CCON TX 76201 Returned check, 2.00 10900 OAnn TY DF.LIGNA 0,AARETI, LL NILLJE 4/13/b0 12/94/F.0 21, 0$ n r~11~i YX 76301 DIPiTL,JLL TX 76201 MOVedi loft no address, 2:7 10500 1 1' , :,Y D'aLI13HA 0X2 d l'Y WILLIC 0/03/110 n. e i,ru l TX 76^01 Lt ~iCijLL YX 76201 Moved; loft no address. +U! 21039 r H lyy 062El;UOLYN f`IV ltth 7:31, 132LSOU SARAH / 1/' 11I1.30N 8/25/so 12/24/00 02, :o DarJrurJ Yx 7GDOt ~i, Jl1sl YX 76201 No I.040140 to Collection offorts, f 10JU2 CLo',D"'Y , IIUTHIC• f L I I11"Y RUYI IIE L;!. 4/:+,1/00 l12/24/DO 60 t.1 IICY LANC ! ,11DUGY LANG S"u S. r.t,~ l YX 75301 Gf,1 Srt I'J." TX */AVOI No ruspwlso to colleCtfon efforts. 201 91 W14 DHIRLY C` ,I4i:ll P EHTI2LY I1 GURLY y, 1r CURLY o/30/r30 19/^~I/CO 5:.21f ~,:N U:J TX 76201 D .NEON TX 76303 no response to cotleatfon efforts, 201 1OOD3 Go 114 , MICHCLLG CON r 01LES M11 IJ OAK 3 Ci?3' 11 OAK 113 111/10/00 32/94/60 44, f5 Uf N1 UN YX m"01 dr:NYON TX 78701 NO ruspon5u 110 C0110Ctfon eff0l'tS, L{ , Lot 17364 OLORJA Or Nt 1LG1 , JRGU3 4/29/00 4/30/00 !fl/..14/60 ~i5, 55 11 CHURCH h')6 cURCH 0... ,;rUN YX 76234 D"CATOR TX 76234 Arrangements not kept. J 101 9453 tt04L;:DY , MOIIAH ~UOL^I!Y , CLARENCG If+ ".O0 U1-UCO In I) HOT fr2.UholfiD $ 'S/31/BO 12/1!4/60 40.13 ~ 11N ON r Tx- 76201 OtlN TX 76201 No rosponsa,co collection efforts. ! 111 r i 1 i DATE 12129/80 9;40: V I. O N 11 E M 0 R I A L H 0 8 P I T A L PAGE G 7t nn AA CAD DEDT TRANOrSR REPORT rOR PERIOD iWO1/GO THRU 12/31/00 PA P 1r T I,-NT NUU,MOnen n'nfl"aanDURAACI7Y7 ~'th1EllPaaNAMEu AD0*00040 Q~1pAANTOR NAME anaaaaaa DAYg DHXRD I F DALA ICF »»_ZZ__ ADIIITYED DIBCGEO 41RIYiEOFF AFI+.COJNT S01 10704 COVA14 SHANNON RVAN LVOTER 1/22/80 1/124/80 14124180 141,30 •'04 NOROg 9 4 NGASE V4N rON TX 767.01 D:.NTGN YX 76201 Balance after insuranC01 arrangemonts not kept, 201 33`102 C04:"n MARK C0'+! FR , MARK 10/29/80 t2/94/00 126,50 1•109 PANHANOL[ t4099 PANHANOLr D.:,d1'ON YX 76201 W.NTUi1 TX 71,1201 Moved; loft 110 address. Opt 5184 CRAY SANDRA CRAY , SANDRA 7/^r9/00 12/24/80 24,00 NUDDELL 0163 509 nUOD%LL 0163 rW41014 TX 76201 ULNTON TX 76201 Moved; left no address, 102 5SS9 ' GUY SANDRA CkAY , SANDRA //31 /80 0/03/80 12/24/00 ate, 35 Os RUDUELL H16J 5a'd RVDDEVLL 41163 i Ii;.I;TC;J TX 76201 DLIt=N TX 76201 Moved; loft no address, 148 26730 C' wr! DEON 0 C"=N Susie HCH 4/00/80 12/..^.A/GO 1t, 00 :1 a5, 54lODD 11HP p'f 3!i, StIGRNOgD MHY U~ENTON Tx 762tl1 G1rNTgIJ Yx 76201 No response to collection efforts, t ioS 14981 ORE HAM , SHARON D CnEBNl FRCIIDY D/06/00 0/06/60 18/24/00 754,00 I'. IT BOX 109 MEOW O 619 i PILOT i NT TX 76208 PSLgT POINT TX 76250 Arrangcmonts not kept. 202 16904 020rr CHR18TINA pCADOT , FRANCS $/25/00 12/124/80 its, $0 c AL`rt! I NY 11302 A0111R NY 13302 NO response to collection efforts, 201 173711 01)7aliltA , RAYMOND OUm,:n~ , RAYMOND 4'29/00 12/x!4/80 39, s0 101'! 1112 INGO l }14 I~g1IN00 USP10N YX 76201 UNTON YX 76301 Moved; left no address, 001 00930 PACHL[n JOHN IAC~111,I!R , JOHN 0/11/00 12/24/00 46.00 P. f1. DUX 940 !1G% 9411 11!fGYL 7X 76'26 1ft0YL.G TX 76921Ne rospOn5tl t0 collection efforts, 101 20090 r!I Lll , JIMMY ~1 Lr, DOLLY 8/11/00 0/12/110 12/04/00 131, 94 IP 1 110% 33A t 111A UASa:F,V1LLe TX 76240 O~SNM}nyLLE TX 76240 NO PUSP011so to 011eat1on Off0rts, balance oftul ante, 2,01 17034 HA.t: J DANNY ~AL , , OAKNY 6/1 /1}6 12/24/84 63,00 i yy..~1 N DELL 11110 it~G,PELT Ut<N'rgN YX 76201 PT ISU 11 TX 7 101 16960 KIA. , 147 LL 19 111LL , WILLIE UAIVfA8oaoteq/19/60 12/04/80 269.0a 0p JACGUCLINE B,{3 JACOUVLINO LNfON TX 76not tf14 ON YX 76201 No response to collection efforts, 202 16407 HAILPAIN r BAnDARA PHAb`.P tJ , DAn9ARA 4/09/00 12/24/80 lib,50 Ruh` :133 T% 76249 ili8N x 233 YX 76249 No response to Collection offerts. R ' L 1 1 r, . DATE 12/29/00 9; 40'. ft L 0 Id M C M 0 R I A L H 0 U P 1 T A L PACE 9 f NAD MOT TRAN5rli!t KPGNT r-on PF;RIDD 1::/01/00 THRV 12/;31/(30 / P6.T'EN7 NJ!0Qrt aa:uaw;,a.+ PATKNT NAM2 gnnaaz~nu ,,oca;a,aus O0MWI'it1R NAME w•anwauru 17nTfi a D 7 OI DALAN p, 11„ NF'X IU~VDGR NA1~~ AUURi^C fY. ST, X[I WiI;G~ /,DUII--------------------------- CITS'll', 'L 1P AOriIT7E0 DTCC}IAfOCO D. h C _ r_rr_r _ rr rrr r ICI F O. kcC LNT rr r r_rr r y r y r. it rr_r_ V 201 17043 HANKINS KENNY Nn1JISlrIfJ RaaCRr 5/12/00 l2/L /a0 65.00 gar,tali' WORTH 025 TX 76201 D NTON f'tfOR7H 1229 YX 76201 Moved; left no address. 201 17401 11:1 lltI RO59 HAPAIN9 ROG'3 4/29/00 12/24/eO 02.75 :?5 FT, WORTH DR. ;%M :7, 1040TH DR. D':V N TX 76201 UENTUN TX 76201 Unable to locate. 201 19900 HARDAWAY DOROTHY HRRaAHA4 CLIFFORD 7/10/80 It2/a4/00 311.45 W~11YONATT1N4RII 7% 7620S DEINYUYAYTIII4R6 TX 76201 No response to collection efforts, 200 11948 HMDAWAY YERRY HAROA``MY TERRY 7/Oq/10 12/24/80 63.90 t"•!% l.Al'TIMGRC S51% LAYTIPIOFtC V ::TON TX 76201 C'LINYON TX 76201 NO responso to colloction efforts. aJl 20419 I Np , fsTCVr'N I„^f p , tiT6VGN 7/127/00 1212.1130 to. 00 I 1+•V;) F`: OLEDROOK 1141 11W)ULNORCOK l LCUSIiVtLLS TX 75067 LU5N&V1LLG TX Y0067 Unable to locate. l 702 51050 x .rtpL2q , UARRY aR~GIt I CCCiL 6/07/00 18/24/00 w1. Go ;v 12 (YON TRAIL all. TITAN TRAIL 4Lr4t'ON YX 76201 u' MTUII TX 761201 No response to collection efforts. I1'R, 6900 WIPyyULC , JUDY f'11RpCLFi CH-MLE8 8/.$4/00 0/20/00 1.2//24/CO L067.25 NJLU'f f+plNr 79 76153 PILO" POINT Y% 76201 No response to collection Offorts, 101 18964 WMIS DON HAR~j2I~, r 041\ 3/16/00 3/io/80 11212.1/00 7u& 56 1,4l3Li 8 Ol NYLtIY DR TX 70216 UAI AU aBNYLCY TX NO rospoltse to +,olloctim, offol•ts, .".01 70281 HAnltfq , RANDALL H-WIS OCOROIA 7/2140 12/84/00 66.05 11rIi~7M. j~TU 0R, 7X 7'0065 WICHI71~07nAL E17 TX 76307 NO responso to Collection offorts. .:01 19126 HAW' UVXAN HARRI , SUMN 6/17/110 17lf:4/t10 9290 LCIIUItA WINOHVR9r 6r. 14C 20645 LUND-14 iV1NHUR07 NC 120649 No responso to eolloction efforts. 202 10932 n,1P.MLL , CHARLCS HARI'ttl.L I LOW 9/16/00 17/2h/G0 107.50 PO OUX /64 F`+~0 iiiLIX 664 PILUtfNrINT TX 76750 pll.9'r POINT TX 76251 NO MOM to collection cfforts+ j tot 1967& K1fCKyKa3035 MIMILE }f}'18SAWo1035 ~ ANTHONY 13/09/00 U/12/00 'W'14/00 760.15 PC) I SRK YX 76266 CsAMg..fi YX 76266 NO responso t0 Collettlon of 20S 9004 HA;f ICLO , JOHN R f(ATFIt`t,6 ° JOHN R tf/f0/00 121124100 99.00 91 !CUT COLLINS 917 WROV COLLINS DBNY~N TX 76201 DLINYON YX 76,101 No rosponso to Oolloction offoets. E I 4 ' DArB 12/.^9/x0 9; 40: F L 0 W M P. M 0 A I A L H 0 8 P I T A L PACE 10 DAD DSDT TRANSFER RSPORT FOR PERM) 12/01/00 THRU 12131/90 PATS«NY h:UMABR kur*uawq*PATjEVT^NAMB uuyaouuun au*0400*4 OUARANTORyNAlIti- ua~a RATg ppppTS DAB~• OP DALANC OIBCHARCED WRI.SOF. OF'- ACCO-NT P ADMIYT-- - PFX N NDLM I:AMB. ADORr C Y ST, xIP NAt15e ADDII, CITY, BT, ZI y 203 Mf4097 I::A1'ON YIJII,lf,1-Y h'I:AT0--14--------------- e/24/00 FFIILMA 46/Sb/00 Y lM 9S100 Rt 6 110X 42 a1LVERDOMc 111 D DUX 42 SILVLRbOIB MOVed' Loft no address, D:aaOy TX 7&201 DW-UN TX 76201 231 15391 hell? , RICKY h?:NrtY , RICKY 3/30/80 12/24/00 34,00 )X '-.146 Rt1X ?346 D rITON TX 76201 DE14TUN 7X 76201 NO response t0 ^ollectlon efforts. 201 10645 IIICt30tJ R0DER1 HIOR(~ RODS RT 6/04/00 13/24/00 84.50 60tt t,°_LCH , to t Wr:LCIi DLNTOta YX 76L+01 D NTON TX 76201 No response to collection efforts. 200 15506 HILL AHD DANNY 14(001) DANNY A/23/x0 1.21./!74/£0 83.00 11ox 13 20X YX 76201 DI NT0I 1'X 76201 No rosponso to Collection Warts. lot 1:3194 , HII.LIARO JERRY W1lFGl.G[t DOROTHY 10/21/00 10/22/80 12/24/00 225.20 t tJINUGOR r 9t!1 iJlrJU5UA ! S~ciJiCH TX 7b'_rl LSoIYUN TX 7&201 Arrangements not kept. 201 17603 IMOK.+0X b11 r WILLIAM lgf"DG:t) , WILLIAM 5/04/00 12/24/80 101.20 / AT 3 R~1 Gll PJ1'Y`v"Ilo TX 75076 ATT1't;J100 YX 75476 NO response to collection efforts. 8/07/79 12/24/60 56. 30 ^02 51;.>a I~^c nN Dt23i18 trn^idJ DALE hl14.,1Mu TX 79701 AlI)LANO TX 79701 Unable to locate. 199 60400 HIIAN WALNGR 11 411 WALKER 6/06/70 6/29/78 1;N24/fl0 175.46 i ;U AURGRE VISYA 7X 76201 I ~SYALURE VISTA TX 76.^.01 u~:Nr3N No response to collection efforts, ! ; 1201 30795 H4'W l) JII'iMY W I i9 , JIMCIY 8/07/80 12/24/80 16.00 P .r Drix 083 P 0 LUX 303 poll So to Collection efforts, fAtJJ'R TX 76366 f./,hKr,R TX 76266 No ros 203 19917 }tUGll'!R DILLY R HU7it R DILLY R 4/03/00 12/04/80 w05, 7,1 P 0 1:6IX 365 P up +AN 10X 368 aANGCR TX 76266 UAh YX 76266 Movedl left ne address, 12/04/80 93.9% 202 6124 ICit301J ALICC~ J,1CR3ht} r ALICC 6/18/00 n3'1 I•tuYTIG "loll I IFF.1 T1E+ IUTN YX 76201 UTN TX 7601 No re3gunse to collection efforts, lot 17894 JAC1ICON t'RANCCS ,Af.,S ON i MIN= '7/31/80 0/02/00 12/P:4/00 941,00 a ! MODGLL au/ ItUDD<"LL U~tJTON YX 76:01 DLNTON YX 76201, No response to soll"tion efforts. i LINDA 9/30/00 1iZ/24/90 36, DO It 201 1007 IgIA8Itf1UN , MICHAM A~Kn0n~1 4, PILQY PXOC43 NT tX 7&26t3 FILOY Pq6~N TX 76250 No rosponso to 0110ction efforts. r } .r r PAGE 11 12/29/00 : FICFIOR I AL IIO8p 17 AL DATE 9; 41 F L 0 14 x DAD D[DT IRAN PGR REPORT FOR PM IOD 12101100 THRU 12/31/00 DA , Of gA1ANCE . ""AtC{JNT pnYICNT {.IUFIQt!R aunxuaaua pAT NY Nl~IfE n~awauaa♦ na,atrt.nna OLIARANTRI2"NA29Gpornaoku ADM1f Rq qiO------ I;R"fl.. Or FVX NUFlsck NAME ADDR, CITY, B ZIP""NANC: ADDII,FCTTY,"97, ZC " " _ JAVh1iI RI" JANAtJ g/R9/90 . 18/Q4/DO Q5, S5 201 10200 'i4AAERl 11106 BAND fd14 w-MARD OLOG Y% 76201 No response to collection efforts. 2NTON TX 76301 DliNYON 12/24/90 7i, 00 FIOHAmMED 0DG , MOHAMMCD 3/14/aO 201 18902 JODE 0? 14CK1NNGV ST TX 76201 No response to collection efforts, OENTpF1uINNEY ST TX 76201 Di.0TON JGFFRGY 4/10/00 4/12/00 J244/60 326.00 J4>1P19piJ SOS 14 JCItN80N JEFPI7EY Out) h1i'1MON9 TX 76201. No response to collection efforts. lit M0N0 YX 76R0! UCNTON 45,00 DaNTA 1/28/00 12/24/60 JD JOHN"ON , RICHARD t 14J40 ~ UHIdsON EiE1Ni? 49 RT 4 YX 76201 No response to collection efforts. NI U9 RT 4 'MP Y% 76101 D DIU'fON 5/10/00 t2/24/130 3a 50 JUL IA , '01ih°,UN , , 231 17766 J7';N;.rl1 , JULIA TX 762210 No rosponso to collection 0ff0rts, %'IIS`U1' f,gIN7 fX 7G2v0 I'I1.01' FO1N7 4/11/00 12/24/30 41 06 r 201 160:12 JC}11480v MICHAEL JOHN60N HICHAEL 11}11 CA~1RROLL DL.VD blS CAIifiC1LL DLVD, Yx 74201 1).h UII WX 76201 No response to collection Offorts. U rIYON JONCO PAUL MAN 7/23/00 7/29/130 12/24/00 3525.90 101 16006 JOUGR , gDDDTE fil' t bUx 43 RT. BOX 43 TX 76727 AUO Y% 70.27 Arrangements not kept, I~cY AVU1it'Y CINDY 6/31/40 12/24/00 1212. 00 ' , + l "OS 2Lt)46 It07 Mt CINDY Ft1Ii:ISit ?,a4 p2Y 1}A •1 f}IY ISA, TX 76201 DmN L.AYFi0;Akl11 TX 76201 ;loved; left no addreS2, 197. 53 1 V hTOI DFTTY 4107/00 4/10/00 l2/2-1/(JO 101 16701 t ATN^t1 , WITTY 140.E CGi.EKOE PKWY I 1~>V1 VTL f01; PKWY , TX 75067 No rosponso t0 collection efforts. k 1 ~ L'!M U1~E' 'fX 7D067 LL141UV1L 101 27994 I nwi 7/02/114 7/04/80 13/24/00 74N, 1D 1! Irf 0 1 IC r I. . A711Y OAK 00.11TA silk) na%AWU00 %DUAN L IoLl(X,1I5y!~30f Oankruptcy, t LU 1 I) uYO!1NtlDRDt9 } L,Vd1000 %DUANIl I,.I(% 1'AK[ /6 6201 I'Lr6'iGN 1/RS/00 la/Drt/Ei0 74, 00 ( 1 AItNA ' II , ~Ot 15,202 tC" ANNA 6115 •S Wf3ODWAI i}1.,ITUN YX 76101 =4 (Ot Y% 76201 NO rospOnso to ColleeEtOn efforts, 4 pATfi1G1A ~jld JgqNNIti THOMAS 3/31/110 12/.^.<l/00 30,35 1 11 201 16086 L~ ,JAMI& YX 76D01 DEMY02 Ii t fX 76201 No respOM139 t0 collection effOrt4, iD13, 55 D01' 6/19100 121241GO 101 L4491 1.!'t kU1a ON 1% Mot DC:N ION TA11MY ~ e"I 00X not k01111 YXI E 74201 ArrauoeMentS not kept., t Iij g ROX 201 I 1 UdN P i k r 1 DATE 12/29/00 9:11; PLOW 14LM0n I AL H 0 8 P I T A L PACE 12 SAD 080T TRANSFER REPORT FOR PERIOD 12/01/eO THRU 12/31/00 PATIENT NUNIFA anrn usaa P6T CNT NAHN anaaaaaar auaauaaa OUqRA!ITOR NAME aaauaaaa DATgg pr~ Ygg AYg pF DALn;1Cr PF'X N----- NAIIE, ADDFiI C 7'Y, OT, ZIP NAh1Er ADDR, CITY, 8T, ZIP ADIfIYTED' DISCHARCgO JAI 9orF pF 44CCOU14T c 20 1 1930.6 LL3TWI , KIMOCRLY LE'STER , SAMUEL 6/23/90 12/24/60 06.00 P. U 0,0X 1009 P 0. COX 1009 F.,1hC:R TX 75266 3.114Ct{R TX 762-16 No response to collection offorts. 102 6JIb Lr,l18 OAY LrWIV CAY 9/14/00 ' $/19/90 1V/51.7/00 140.05 50 NILSHIRE DR W7 WIL6H1nE DR EULnlil TX 76039 EULhw'S TX 76039 No response to collection efforts. 133 2?b9 LUCIlA1D0E r PATTY OCKft DOF , JERRY 9/29/00 9/12/00 12/26/80 679. D4 IIf1X 766 I,kX 7~,a TX 76266 6'ANgER YX 761!66 No rosponso to collection efforts. Ii 101 16179 ti~,q?IN , DENIJIO 21412I1N r DGNNI0 3/23/00 3/26/00 12/74/00 30.00 1 6 Cf Nf:RGOO 1116 C=Rf3S8 Bt;t'IQh1 YX 76201 D'cNTON TX 762201 No response to collection offorts. ` 1 14695 MARTIINF2 LUpE fi7Ippl^'L , LUPE 3/10/90 17/.6/90 $2,90 ' 730 1,Fit RMAN DR1VE 430 I M 5 N ZMAN DnIVU BLN7CII 7X 762101 BLNTUN YX 76201 No response to collection offorts. 102 14539 11P.'t,AY KYNNDA MAOOAY CONE 0/06/J0 0/19/00 1C!/06/0O 4079,35 4d7 PURNARD 019 1S!7 I,r:RNAnD W9 ur.P' ON YX 76201 Di'J17UN TX 76201 2D1 14J35 11'1~~`AV r Arrangements not kept, , ,SS! IIfiR11ARD $i9 ' KYNNDA hfVSAY QENE 6 7 IIC RNAf20 f119 9/06/90 W26/00 0.5. 00 O'[NYU;1 TX 76201 DVNTOM TX 76201 Arrengearents not kept. 201 21094 H?;TtjEIJ9OK i MARY SUE MATY?ICN, , MARY 0/16/80 . 19/26/00 100, 50 Iii IA1IT 90D IAT"OX !i;::~TON YX 76201 D01TUN TX 7601 No response to Collection efforts. ;201 20:761 h!a.,Y`h PAM Iii kliY PAN W09/00 102/1?6/00 9!. 70 E MN ' Ut~X I I.kU BALLAD TX 70065 LAKf},IDALLAO TX 75065 No reeponso to collection offorts, 101 17059 tico Ii Di ANNE go 1Ll, r MICHAU J 6/19/00 6/20/00 !2/26/00 9'33.70 /1d hAULVa n 1!,:ADLEG WA TX 76201 N'ION TX 76201 Agrueluont not kept, 108 178D9 (40012 t , DIANNE MO( IL{= , MICHAEL J. 10/08/00 10/11/00 18/26/90 11122, 10 /l4 W.ADLL6 71 j IiI~A1) L91! D'xNT'ON YX 76.01 UGr1TG94 7Y 76UOI Agrooiliont not kept. 201 14293 ~eL70X -A AUVIN 1MI I.~CI)j!(? I VIROIL 1/30/00 18/76/00 19195 Q3 AUDI CY YX 76.^.7 bLsL1PIC 2 V lJ.l6.ll YX 76308 No response to c011ection offorts. 199 60919 M1LLL'n , ROOIE IILLE r Roam ✓b/09/70 0/16/70 12/46/BO 09100 76226 ARbYL TX 76226 No response to collection efforts. I I ,i 10 DAYS 12/t29/F?0 9.41: FLOW 11E110R I AL HOOP I T A L PAOE 13 t~ ^ DAD D90T TRANSFER REPORT FOR PERIOD 12101/230 YHRU l2131/f,0 ; PA71EAJ7 rJUh7AEeR a##aue##r pA1 II ~!7 AA14E n#aANrN## Aa#X'.+MNa QPUnn AN70R NAME 2112#a##u DA1~s DAr7•g p^qrrg OF BALAPJCE IFX NUMQEII NA?5, AUDR, CI Yr Y, YIP NAME, ADDR, ~CITYr »II7y«YIP ~ ADMI77GD DISRHOED UffaCFF OP ACCOVNT 101 72277 NOEL KIN Nffi , DANIEL 9/24/80 9/89/80 J2/26/80 1$3J2.18 t 0i 10 Cs HUFFMAN 3110E HVFPMAN A UM TX 76249 KROM T% 76249 E 102 13509 REEDY TERESA f+Ef:1Y Arrangements not kept, f 3;`1V ATLAS 371. ApTLAS STEVE 4/84/80 112/26/80 1083 1q i'u7L`y TX • 76201 ix oN TX 76201 No rosponae to c0,1eetion efforts, kt 1 7073 CChIiTTCU DIANA SUHTY1'OU CELDURNE 9/10/00 12/'26/00 ,00 l1u, 95 i ABU )Rey TX 76227 AU0AUY YX 74,327 I 101 13469 EfIITH , ANN P7lj I JR , MILLIAII 2/$1/80 2/27/80 l2/26100 622.7$ ?d DOI)-0°LINIt dd~.1 1100~tl«LIJJK U,.i+lUN TX 76201 DLr1ON YX 76201 No response to collection efforts. i JOl S'741) LYA^R , MAR180A OTAFIR , CHARLES 9/25/79 9/27/79 12/26/80 603.70 N 1 DUX 330 A7 3 ROX 3$0 f 1t`•++Y111+ TX 76201 DEMON TX 76201 NO response to collection efforts, 101 21.0449 I,T::rt:r•N20N OINA r;yrfl JNEON , OINA 0/06/00 8/09180 12/:26/80 810, f70 j 4417 111L1r ounutROJfb 491/ HUNDERDIRDIJO f DOULDE73 CO 86303 L'OULO R CO 86303 Arronyoments not kept, 101 10306 wrouT JERRY , 9/24/00 6/30/80 12/?6180 1406.70 ~ NY IIOX 09C UAN7W TX 76766 Mo raspcnse to CO)ladtion efforts, sot 1%143 $f(1WALL , JOSHUA hYOVAI.L. r ALVIN 4/21/00 4/24/80 1226/80 163.60 L+. I IIX. 079 RT 1 pY, 677E f VILLA: TX 10020 LG',IIWILL4 TX 75020 No responsa to collection offorts, 101 17119 P,ri., m, f qg KATHRYN <<TUV/,!_l. , ALVIN R 4/91/00 4/24/UD 12/136/L'0 467.8~J 7~ pp QT 44 UI13f 07C ' Lkt,'Irmt..1I YX 7'5020 LCIJIOVILLU TX 75020 No rvSponW to collection efforts, 101 23190 ItI;ObANO 111'{4Y gqTUUOARf1 , DILLY 10/21/00 10/27/80 12/26/00 309,96 " f' rjl C'GttQNAUd 211006 301 rn110NADO 410$6 u +TUN TX 76801 D;INION TX 76003 Moved; loft no address; lot 8937 rA)LOf; r MINDY AYUJA , LANAY 9/23/79 12/56/190 37t 'Al } 2151 B17gl~LLAIRG iTW IIRLLAIRE I r Di1JT YX 76201 MYCN 7X 76,201 Arrangements not kept, 101 JA9s1 f JANI ry , ROOALINC ili~hN2 , RORALINIT 0/16/00 111/26/80 442,60 iLt0~011 OAK 11.4 tt[C TX 76«03 G+L2NIOh OAK 11x4 TX 76203 balancu 6ftor Insurance, 0/2 fOl 21201 OVANCIr 1:N7ON ~ ~13mgx HP 762o1 DrGfJ5 LOT 27 SILVER'DOM~XIi 76201 ArrangemonBtO not kept0/80 121?6140 373.75 1f R r. ' L0Y 27 SILVER 7 1 f j: r' X1.4 r . 1 , CATS 16/29/80 9:41: F L O W M 1! a R I A L H 0 S P I T A L PAQE SA r I~ PATSGEST NUMOE- **0044* DAD DEBT TRANSFER nCPORT FOR PERIOD 12/01/00 THRU 12/31/60 PF'X tJVIlDG~fi ea PATIENT NppMII 1laawnawna awnaaaaa OUARA 7pR NAME aaaaraaa DAT D C NAM::, AD DR, C11' , S , ZIP NAME, T DATE F C rYr Y-Yrr ADD-, CITY, ST, -!N ADMIT--- DISCAARQED WRIT91J F OFgAACAMT 1 rw1YrYWrrYUWYYrMUYrYWUwn Y urrruru«rurururr WYrY.yru..~..rrrrrruY YYrr h YYr WruuW rYYU..YYU urwr 101 20335 V,ili9 LARRY VF3q 21'8 ROYAL OAKS Nbt r LARRY 7/85/60 : 7/97/00 1:/06/80 1100 3Q f T2 ROYAL OAKS 061 gENTDN TX 76201 RDGNYON TX 76301 No response to Collection efforts, 101 80975 VOAS , JACKIE idlfARDY + JACKIE 0/13/00 i 64a HARDY fl4 906.70 ' L,iU SVSLLE TX 79007 LCWIG ILLC 0%lt1/tl0 12/3G/tl0 TX 79067 NO response to COlloctlon efforts. 101 3006 wm(0 HELEN I:'nltD , JOE Ir•L) 1IE;)'CM1NI07GR1 ARVlAIv9Afl yn'E) 0/05/00 0/1t/00 12/96/00 1329,19 UL LYON TX 70201 IAINgSVILLE TX 76340 NO response to C01100tion efforts. 101 13843 A.1YIlYN.j , RENE WAT;QN , MARK 7/00/00 7/00/00 19/36/60 16112. Q4 11',~P HUXNARD 1 N RNARD DCWfgN TX 76201 DAUM TX 76901 Prano monts not kept. I~ lot 1`)327 p,,wmrm , VICIiY WE Nr r VIC{lY i p% lwOT PONY i~X 131) 6/119/00 13/06/00 732.20 TX 76290 Udi POINT TX 7625[1 No raspOASO to colloctlon efforts, tOd s^39l NILL)AM5 {JANDA 41~I.L AFIB}}~~ NN e L1AFJgA 7/19/00 7/Q2/ SO !2/26/60 l L ALi)GA1LAgiJDLEY I?R 7X 76201 LA%1 UALLA¢DLUY DR .00 TX 79069 lot 16663 YOIJNO , CHRIS ya KEVIN 54 3i 1WOHE0 D 1149d~ HUGHES 4/10/00 12/26/00 2210,00 FT HOO 7X 76544 F1 H 01) TX 76944 NO response to Collection Of for j SOl 90333 iupp2/,VAL 7JR EL20I0 R~VtALUUXR tS, 147H ' ELIOIO 7/23/00 7/74/00 12/26/MO 800.20 i i J10 LLtt TX 79007 LC6i=9VILLE TX 73067 No rosponso to C0119COO0 efforts, , rt TOTAL DAD DEBT WRtYC-tlNP 7810 M IOD: 66409,21 1. 4 r..~„ •rr .I~,1r.. H. r.{Lr r W ~2n!.. _ . • rrr.► :4 i . +I wow I BDARD OF DIRECTORS MINUTES n.~. November 20 The Board of Directors of Flow Memorial Hospital met in regular session at 7;04 pp.m, on Thursday, November 20, 1980 with Mr. A. E. Wy [hoard members present were Mr. att, Chairman, presiding. Other Gray Shelton Ralph Havenh111, Mr, George Hilz, Mr, Brad hfoo , and Mrs, Mary Wi)liams, Also present were Miss Holly Hervey, Mr, Tony Franzen, Mrs, Gloria Madewel 1 l, or, d. Hampton Miller, and Mr. Leonard Watson. i The minutes of the previous meeting were reviewed and approved, Miss Hervey reviewed the financial statements and presented the monthly statistic report, Miss Hervey noted that cash ~,,oceipts had improved during the month and had, thereby, enabled a.reduction of approximately $900000 in accounts payable. The averag adult daily census for October was reported as 97.8. The Bad Debt Charge-Off fist in the amount of $61,326 and the Charity Charge-Off list in the amount of $28,023 were reviewed. Mr. Franzen explained that the accounts listed on the Bad Debt List are not forgotten--rather some of them are processed through Small Claims Court, and some others are turned over,to a'collection agency or a cell approximately one half of those accounts processed in courtoora~through collection that agencies are later:collected. Miss Hervey reported that there was an operational rofit of $20,730 for the month with a net excess of revenue over expenses of $46,171. This was followed by a discussion concerning the "break-even" profit. With present expenses, it was agreed that 93-94 patientsnperodaynwooonal uldaproduc a "break-oven" point. Mr. Hilz moved that the Finance Report be approved; this motion was seconded and passed by voice vote. Mr, Watson reviewed the "Monthly Statistical Report" which is prepared by the Director of Medical Records. He explained that in the future, he would mail these reports to the Board prior to the meetingg, as well as p books. He outlined the information available from therecQrthe information in the copies of the "Combined Inpatient Hospital Experience Report" foriethesmonth tofbuted September, 1980 and outlined the information available from the report. The minutes of the November 5th meeting of the Safety Committee were reviewed; Mr. Watson reported that the survey teams have.begun their safety surveys, The mi~u indicated that forty-seven incident reports were reviewed, and the Board agreed thatte i it would be helpful to them to provide more information concerning the reports. There was some discussion relative to the IV errors and the steps being taken to reduce the incidence or errors, Mr. Moore moved that the Safety Committee Report be accepted; thi was seconded and passed by voice vote, Mr. Watson reviewed the Utilization Review Committee's minutes of October 22 and explained the process used by this committee to review the admissions and lengths of stay for patients, Mr. Shelton moved that the Utilization Review Report be accepted; this motion was seconded and passed by Voice vote, Dr. Miller reviewed the minutes of the Executive Committee's meeting this week and presented three applications to the Courtesy Medical Staff which are being recap mended by the Medical Staff--viz,, an S, Searle, MA g Fe Wolski, M.D., (Emergency Mede); and Albert Thfbeaux, M.D., Radfoiogy~, Edward j A re-audit of "Hypoglycemia in Newborns" was presented and the improvements discussed, Mr. Moore moved that the Medical Staff Report, including the appointment of the three j physicians, be approved; this motion was seeondod and passed by voice vote, 1 Mr, Watson announced that the Volunteer's Novemberfest would be held at the hospital tomorrow morning. He explained that this is one of their money-making pro- jects for the year and that the Volunteers had recently pledged $6,000 to purchase a TCOM (trans-cutaneous oxygen monitor) for the Neonatal Intensive Care Unit, ' The Administr for reported th t thh architect and the physicians involved are still working on pans to expand tie NI U. eHeleo a-- 1 ~+Wwkli~Ai4~1k" 1 'I i 1 i i l I 1 i 1 i D, C 2 2 1580 21 ~I CITY OF DENT O MANKQEq'S Orr ' LgiM Mil BOARD OF DIRECTORS 1 SINE2i¢is_:~t2✓v9c.Z2~T•i2'._.=-3~=._[c _._~ti=GS.Y::-~-~L:xry•=.C~= ~ ~ SLY:S-~SiC~-TSC~_..tyy~~~....~~~..e , BUSS MINUTES .__,Ngv_paber, 2Q,,_1980 Pagr I! A resolution authorizing the Administrator to secure a $125,000 loan from the first State Bank to purchase the new Xonics radiographic-fluoroscopic equipment was Presented, The resolution was adopted following a motion from Mr, Shelton, a second, and a unanimous voice vote, Mr. Watson stated that the American Hospital Associati on is sponsor#n a seminar In Washington, D,C,, December 11.12 regarding health maintenance organizations (HMO's) He stated that he felt it would be beneficial for the hospital to send three represen- tatives to this workshop--ie,, the Administrator, a Board member, and a representativ from the Medical Staff, This was discussed, Mr. Hayenhill moved that the Board appro e this suggestion, The motion was seconded and passed by voice vote. Mr. Franzen presented the "Payment Policy" for consideration by the Board. He explained that the document represents current7y.followed policy and asked the Board to formalize the po79c by acceptance, This was discussed and approved, following a motion b Mr, by Havenhill, a second, and a unanimous voice vote, Mr. Franzen also explained that there are currently three collectors in his department who would be following the policy and that the policy would not be circulated to anyone else. The applications for re-appointment to the Madica1, Dental, and Allied Health Professional Staffs of Flow Memorial Hospital were presented for consideration, Dr. Miller explained that all applications had been recommended by the Credentials Committ the Executive Committee, and the department to which the 'individual is assigned, ' a plicat#ons had been considered on the basis of the indi•oldual's competence and All `I clinical ,judgement in the treatment of patients, ethics and conduct, health status attendance att medionl staff meetings, participation in staff affairs, compliance with hospital bylaws and rules and rege ations, Cooperation with hospital personnel, use of the hospital's facilities for his patients, relations with other practit#oners and general attitude he toward patients the hospital, and the public, p I t recommendation of the Medicai Staff concerned Dr, the one Is still l to suspension from the Medical Staff because of delinquentomedicalprecords,i still on records, The Medical Staff had recommended her re-appointment subject to the completion of her delinquent Mr, Shelton moved that the reappointments (see attached list) be approved hertdelinquentfrecordsohavelbeendcompiDeted op?his who would wasm in on suspension until voice vote, seconded and passed by • Mr, Watson reported that he had been contacted by a representative of the State i I Texas concerning directional highway signs for the hospital, and that the represents had stated he would ditcuss with him next week the proper location for the signs, The Administrator announced that a three-week refresher course for unemployed nurses had been completed and explained the benefits expected from the course, i It ryas announced that the new Brothers and Sisters Class for children of families E expecting a birth is being filmed tonight by Channel 8, I` Mr, Watson announced that the hospital had been awarded a two-year accreditation { i by the Joint Commission on Accreditation of Hospitals, He reviewed the recommendaon I made by the survey team and noted that steps are being taken to correct any deficienci s. The Administrator reviewed two Pend ing suits against the h hospital's insurance carrier had recommended settlement not4toiexceedH$10,000~fora the case irivolving a patient who had fallen out of his chair fracturing his hip, This was discussed, Mr. Shelton moved that the Board of Directors follow the recemmendatio of the texas Hospital Insurance Exchange concerning this case and settle out of court for an amount not to exceed $15,000, This motion was seconded and passed by voice vot , R ,,,,mule ~.~n~+-- -•>'z i wav:,wnc+4eau., r Itu.u„ 0, 0.>Cu I, IA,. I <....ren-••t-~„yam..,., I } ,.,.wwa«II,~y~ , BOARD OF DIRECTORS f zca.,-=..-...x=r~,~.--,:.--- Peg' I~BUSINESS MINUTES I There was no further business, and the meeting was adjourned at 9:25 p.m. I ~ Mary Henderson Williams rr 1 gm J I . I { 4 r i I r R BU511dESS 1"Ul LS ot,o 1-, October 23, 1980 P^7o _ atiy ! The Board of Directors of Z M en Thursday l:1AU-healbl•+a7 met in regular session at 7,,00 , October 23, 1980 with Mr, A, C. W att, Chairman oard members presont 'xere Dr. A, N. rinla, Mr, llfants, y Ralph , presiding. Other Mr. Gray Shelton, and Mrs, Mary Idi ph Havetihill, Mr. George Flilx, Mr. Wyatt introduced the new Board member, Mr, Ralph ilavenhill, who had been aappointed by the County to fill the expired terra lly elf. d that that lirs, Iltiitams had been re••appointedfbyriheiCi ySFor a two-yearttarmo and that Mr, Moore had been re-appointed by the County for a two-year term, Mr, Watson was asked to conduct the election of officers for the Board of Directors, and he asked for nominations from the floor Mr, existing officers (Mr, Myatt, Chairman, Mr, Sheltbn, Vice ChaiNtlz rman; and Mrs, thtl Secretary) be elected by acclamation. This motion was seconded and assed.b Williams, mous voice vote, p y unani-• The minutes of the September meeting were presenter! and reviewed and approved , with rto corrections, Mr. Watson reported that lie had contacted the apppropriate wpersons concerning directional signs for the hospital, and he will foliose-up if no definitive action is taken by next week, i Mrs, Fritz reviewed the Monthly Financial Repport and reported on the fiscal affairs at year ending September 30, She noted drat the average daily census for the year was 92,3 and explained the financial mix of the ppatients and specifically noted that 83,4% of gross revenue was generated by patients having some form of tnsuranco. The excess of revenue over expenses for the year was $267,553, The Board members expressed their favorable comments concerning the improvement in the operational loss this year of $31•,935 as compared to last years operational loss of $287,354, Mr, Watson noted that even with the high inflation rate ear the exes to the patients have only increased 7%, Mrs, Fritz reportedpthatythe~cancellation of the Respiratory Therapy contract saved the hospital approximate! as the Physical Therapy contract cancellation saving a proximately $15,000, the ' financial reports were reviewed in some detail as well y $60,000, as well in the amount of $46,034 and the Bad Debt Charge-Off i,istsinhthehamountCofr$Nt082. Mr. Hilz moved that the Finance Report be approved; this motion was seconded and pass- ed by voice vote, The Board members recessed for 15 minutes so that they could be introduced at the Volunteer's Awards Event in the pining Room. Mr, Watson reviewed the minutes of the September 30 and October 15 Safety Commit k tee Meetings, He noted that the Safety Committee had been re-organized with the r appointment of a new chairman and two new physician members, He explained safety survey teams have been assigned to inspect the hospital, and these reports will be forthcoming, Mrs. IJilliams moved that the Safety 'Committee Report be accepted this motion was seconded and passed by voice vote. , The Quality Accountability Committee's minutes of September 19 were read by Mr, Watson, who noted some of the follow-up activities and on-going reviews hein reported to to that camnittee, Dr, re rtedatcommitees Finley moved that the Quality Acc e r seconded Dante bilit be acctedl and passed by voice vote. y Report The Utilization Review Committee's minutes of September 24 were reviewed by the Board Members, gg ' Or, Finlay movedAthatattioallti1izatloncReviewrnConnitteonRepnrttbe accette weth s oton was,seconded and passed byy Voice vote, r p dl this motion i i IDIV b•d IA 1 L•'p'ft.'Sa.-trv.~.l'y,.~,#P'1S.T Y4iSf:_ti~~~;tfl""2'JLOrta•:ITtY'~:^:zs.Atny~fOtlt9'.Y1~L ~t:fCY'11 .1L.«.r~'s».tr:t•..~«f YlGCYx'k]tR,;t}q<;yjyy~ 1NIIIt II rI'klfoPd fO., It1M rill uln, 'M'i t':t:'q`u«. d ,111'1/0 IN V, 1, A. 5% i • . . ..,..w.+. •..,w..m-,a.e.wgNM1WNlSpJ~„ r 6 P1 I BoARn aF n1RECTOas ti BUSINESS MINUTES o,ie r,9' -2•_ .y At the re uest of the Board at the September meeting, Mr. Watson reported that .he had received bids for replacement of the x-ray equipment in Room 1#3 and had roves- tigated means of financing such equipment. lie reported that the had received bids from General Electric ($170 976), Dallas X-Ray ($148,25G)t R, P. Kinsheloe ($149,872), Toshiba ($146,527), Xonics $125,000), and Gilbert X-Ray 1$147,000). He had investi- p ted financing of the equipment through C1T Leasing Co, Xonics, and First State [lank All bids had been for the same type of equipment and included trade-in for the present J equipment. Dr, Finlay explained some of the advantages of this type of equipment and +1 noted that the new fluoroscopic camera would be the most up-to-date in the county. Dr. Finlay added that the Chief Technologist, Jerry Smith, had been instrumental in obtaining the bids and had been successful in lowering the amounts of the bids. The Board members asked Dr, Miller if he felt that the medical staff would agree that the - replacement of the x-ray equipment in Room H3 is still a top priority, and Dr! Miller responded affirmatively, The Administrator recommended that the equipment be purchase from Xonics with financing from the First State Bank. Mr. H11z moved that the Board of Directors approve the purchase of the Xonics fluoroscopic equipment with financing through the First State Bank. This motion was seconded and passed by majority voice vote--Dr, Finlay abstained. The Administrator Invited the Board members and their spouses to attend the Annual Employee Awards Event, which is scheduled for Tuesdays October 28 at 7,00 p.m. He noted that one employee, Miss Pinabelle Ballard, CRNA, will be receiving a twenty- five year pin, and two other employees will be receiving twenty-year pins, Mr. Watson also announced that the Annual Meeting of the Dallas-Fort Worth Hospital Council has been scheduled for Tuesday, November 18 at the Hyatt Regency Hotel in Dallas. The speaker for this event will be Howard K. Smith. Reservations ( need to be turned in soon, and any Board member wishing to attend should let Mrs. Madewell know next week, Mr. Watson announced that the three area hospitals (Flow, Westgate, and Lewisvill )I 'f will be hosting a Christmas party for the Denton County Medical Society, This party will be on December 5 at the Denton County Club, and Mr. Watson invited the Board mem- 4 bars and their spouses, Dr. Millar presented the Medical Staff report and read the minutes from the recent Executive Committee Meeting! Dr. Miller presented the Medical Staff's rocom- mandations for re-appointments for the medical staff year beginning December 1,1979. He ,::minded the Board that action needs to be taken on re-appointments at the November Board Meeting. Or, Miller presented the appplications from Erlinda Punsalan, M.D „ for Active Medical Staff, Pediatrics-, Judson hee, Allied Health Professionals 1 Staff, Physician's Technician 11; Gene Waggoner, LVN, Allied Health Professionals Staf , Physician's Nurse Assistant; and Marguerite Knight, RN, Allied Health Professionals Staff, Physician's Nurse Assistant and recommended that they be appointed. These applications were reviewed and appproved, following a motion from Dr, Finlay. Dr, Miller also recommended thatlthe Board oP Directors approve amendments to the Medical Staff's Rules and Regulatiods concerning the approval of regi3tered physical therapist transcribing physicians' orders on the medical records and the approval of Mrs. Knight and Mrs. Waggoner to transcribe Dr. J. W. qunn'a verbal orders on the medical records! This was discussed and approved, following a motion from Dr, Finlay. Mr. Tony Franzen, Manager, of Patient Collections, presented a proposed payment policy for the hospital, and this was discussed, Mr. Franzen explained that the po'Ic is currently being followed and asked for the Board'napproval of the policy, Mr, Shelton suggested that a policy be included dealing with filing a lien on settlement policy, anzen Adiscuss cases In Mr. Lewis Injury and/or accident was tabled until information can be obtained concerning the additional policy. y 1 ' nex:2.zrafGlGt•~.-iNara~-atr-nss~Geat.lne~37:r_:r1rr.-+•c.TtG-rr-~-nsC'~..t=se-~'. ......Y.^.«..w«.+...n+vw...cea~wFTHr •~y~~~ 11 r11rMl ..A`.VA!\I'I .hf M. - r lJal,a~t„y,{}, WARD OF DIRECTORS f?USiNESS MINUTES we Oc - -Mr. Franzen suggested the adoption of a policy of charging $5,00 for returned checks, He explained that this policy would apply to those checks which have been retusod by the banks twice, Or. Finlay moved that this policy be adopted; the motion was seconded and passed by voice vote, Mrs. Fritz reported on a mock disaster drill which had taken place during the hoard meeting. There was no further business, and the meeting was adjourned at 10;00 p.m. Mary Henderson Williams Secretary gm i } i 1 E f IMIUJ'D IMUJ.a 1'3'.:.T•Y'1=:7=:J4'STIIYSCiL':Y•L11•'~~_'•'.L"-"'i':•-lTtb'i1TL«-SY1St ~tWttl`~~~. -~'t'Sd YiL'slS:'iiZ ~.~+-'f.•~ Y_'AnTJ T1T2~W1'Sf:1~..'i'Yiii.'fY.SL~S`CtS~'T..Y!~'x-" rmr+tl.B19 /anlt rn ,K rlelo <o„I 11.1 N. W Neb i Wilux W*" .t.....•.......+e. .avu.,wew•srntAM,WI r i 71 S r 1 q 4' ith i FLOW MEMORIAL HOSPITAL BALANCE SHEET OCTOBER 31, 1980 r 1980 1979 1980 1979 Current Assets. Current Liabilities, Cash-Operating $ 12,388 $ 34,728 Current Notes Payable $ 123,809 $ 91,419 it Interest & Sinking 10,468 102084 Accounts Payable 529,586 518,457 Reserve fund 7,614 2,278 Accured Payroll 147,762 96,451 Repair Fund 10,495 5,441 Payroll Taxes 503404 499482 Group Health Insurance 930 1,760 Fees payable 120,139 86,229 Investments 236,499 1982217 Bond Interest Payable 13,590 13,296 Bonds Payable 659000 50000 Total Cash & Investments $ 278,394 $ 252,608 Total Current liabilities $19050,290 $ 560,334 Accounts Receivablo $ 1 989,884 $ 1 871,836 j Less: Allowances 26 302 309 909 Other Liabilities: 7 Deferred Income $ 277,966 $ 252,683 Net Patient Receivables 1, 8 682 $ 115610 Long Term Notes Payable 2910805 342,753 Other Receivables $ 3459996 $ 3505193 Bonds Payable 495.OQ_0 560,000 Inventories 291,512 190,382 y Prepaid Expenses 39,611 30,927 Total Liabilities $2,117,061 $ 29015,770 Total Current Assets $ 25684,095 $ 2,385,937 Capital: City of Denton $ 393,166 $ 393,165 Property, Plant & Equipment: County of Denton .1,696,871 1,6960871 i Land $ 37,547 $ 37,547 Endowment, Flow Estate 1 240,461 240,461 { ! Building & Improvements 21994,493 2,936,516 Fed. Grants, Hill-Burton 1,8681910 1,868,910 Furniture & Equipment 3 82-8- ~4~-59 3 485 806 Federal Grants 256,371 2569371 $`~';"A i?f;,199" $-,4Pledges and Gifts 372,234 32G,323 Gen. Fund Bal. Beg, of Yr, (940,275) (101530821) { Accumulated Depreciation 3 93,5k~j159,036Z Current Year 46,171 43,720 Net Property, Plante & Equip, j__3 ,366.875_ 3,300,833 Total Capital 3 933 909 $3~ 671,O0O i i TOTAL OPERATING FUND $ 6 05.0,!170 5 686 770 TOTAL OPERATING FUND X6,050,970 $ 5,6861770 Current Ratio 2.56 -I 11-13.80 r s , E t 1 fir.. r f _2 FLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT OCT08ER 31, 1980 CURRENT MONTH Actual Riiilnet P R I 0 R Acult Patient Days Year-to-Date Average Per Day 35032 2,790 21915 97 .8 90.0 92.4 Newborn Patient Days 301 Average Per Day 9.7 403 407 13,0 13.10 Gross Patient Revenue/Pt, Day $ 290,96 $ 292,93 $ 255.21 Total Expense/Patient Day $ 239.38 $ 249.85 $ 219.62 Month J Cha,rit_ --.Bad. b~-t Re a er October 28,023 $ 610326 $ 7,117 " % of Revenue 3.4 Z 7.6 Z 0,8 ~ r .11.13-80 ~ ; s 01 F L 0 4! M E M O R I A L H O S P I T A L Page 3 STATEMENT OF OPERATIONS/MONTH & YEAR-TO-DATE, OCTOBER 31, 19$0 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits Expenses 476 Pr8103 Losses Daily Hospital Care $ ~'G`B~,955 4, 5n- $ 859 Psychiatric Care 7 599001 21,213 853 22,066 36,935 OB/Post Partum 4 40,716 12,368 10189 13,557 27,169 ICU 2 17,800 149418 2,196 16,614 1,186 Nursery 2 199465 10,083 29066 12,139 79326 Neonatal Nursery 1 79400 9,387 717 10,104 (21704) Coronary Care Unit 5 43,013 28,075 2,707 30>782 13,031 Labor & Delivery 2 22,285 14,625 41670 19,295 21990 Operating & Recovery 4 38,540 14,266 90609 23,875 14,665 Emergency Room 3 27,198 12,874 22,400 35,274 (8,076) Central Supply 6 525462 8,034 12,094 20,128 32,334 Laboratory/Blood Bank 10 91,324 39,789 39,789 51,636 Radiology/Nuclear Medicine 8 675493 15,149 16,011 31,160 36,333 Pharmacy/IV 15 131,834 8,649 31,68) "40,338 91,496 Anesthesia 3 26,374 12,700 6,097 18,797 71677 Cardiopulmonary 3 24,137 61797 11,761 17,658 6,579 Respiratory Therapy 4 37,512 13,669 71370 213039 16,473 Physical Therapy 1 8 933 5 295 320 51616 3,318 Total ` 60 8 Iffi_ -11 T I C- $ 17rM ~3GOG $ 19 s493 Deductions of Revenue $ (57,475) $ $ $ $ 579476 Charity & Bad Debt (929605) 920605 Employee Health Ins, Exp, 11,744 110744 11,744 ; Medical Records 214 9,421 ?,320 119741 11 527 Gift Shop I,367 1,0181 433 1,614 1247 Cafeteria 109735 230601 24,634 489235 (37,600 Plant 16,644 27,834 430478 (43,478 Housekeeping 219847 5,750 27,597 (27,697 Laundry 7,086 20601 9,587 (90587 Fiscal.Affaira/Data Proc, 7,574 4,421 111995 11,996 Business Ofc,/Credit & Call. 219435 8,545 29,980 (29,980 Purchasing 1,402 741 2,1,3 2,143 Personnel 3,244 1,328 4,57?. 41672 Administration 6,025 2,396 8,421 8,421 Staff Education 11783 306 21089 21089 Goneral & Administrative 1,189 22,648 22,648 1,469 Depreciation - 26 344 26 344 (26,3441 Qain (Loss) from Operation 20,730 n Non-Operating Revenue 21,138 21,138 ,i Foundation 4303 I Total 66 $ 0- 17,9 4 725 7 24 46 171 s I ~ 11.13.84 ,...-..,~.,,,.._.,..~...y...._...~.-..._.,w.-..,..-,..-._..,,...,..~.: i FLOW MEMORIAL HOSPITAL -4 i SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS OCTOBER 31, 1980 , Current Month Beginning Balance $ 22,839 f Cash Received From; Active Patient Accounts $ 748,262 Bad Debt Accounts 71117 Cafeteria 11 172 Appropriations/Donations Other 5,265 4 771,806 Total Cash Available, Cash Disbursements, Payroll $ 327,091 Payroll Taxes 39,083 Patient Refunds 20,091 Capital Assets 89198 Notes Payable 7,471 Other 381,827 Total Disbursements 783761 Cash Balance $ 10,884 Cash Investments 236 499 Total Cash --2g 4 ' Gross Patient Revenue $ 8820582 Less; Allowances (66,604) Net Patient Revenue $ 816o978 Cash Received on Patient Accounts $ 748`262 Less; Patient Refunds Net Cash on Patient Accounts 7280161 Cash Received as a of Revenue F $9,1% v 11.12-80 "AW01 F L 014 M E M0,R I A L H 0S P I'TA L Page 5 AGED ACCOUNTS RECEIVABLE SUMMARY OCTOBER 31, 1980 i Primary Payar Current 31-60 61-90 9140_ 121-150 150+ Total _ of A/R Medicare $ 156,803 $ 18,099 $ 7,597. $ 10159 $ 7,345 1i 17tO1 i $ 208,054 13.0% Medicaid 209196 6,876 60202 1,660 1,124 32,621 689679 4.3% Blue Cross 70,549 19,370 5,921 805 7,961 104,606 6.6% Commercial Ins, 222,886 81,771 85981 129491 245 29366 328,740 20.6% 1 Self-Pay 264,766 1285921 67,804 64,991 48,954 169,261 744,697 46.6% Balance After Ins, 47,951 30,053 33,354 170950, 8,712_ 4 1,93 142,4273 9% 783 151 285 090 129 859 99 056 74 401, X225492 $1,597,049 100% In-House y 392,533 ! 'total Accounts 1 989 582 w s A/R by % 49.0% 17.9% 8.1% 6.2% 44% 14.1% y - Number of Accounts- 7,866 Oays of Revenue- i Accounts Receivable 56.1 In-Houso 13.8 1 Total a 11.13.80 Li I a j DAtE 10/30/UO SG: 39; F L O W M E M O R I A L H 0 E P I T A L PAGE 2 ACCOUNTS RI:CGIVAL'LC ACCOUNT 9TATV3 ROPDRr PATIENT NAMC WANANTOr NAME P/C ARM. DATE MVDIGARE a 1143.1 nUC IN5.:i DVE TOT, OILLU INrVWC1 PAT. 117Fx, NUMDLR OVARANTUR ADDS E:'UO t PHONE R/C DIS, DATL MA.DICAIA 0 IND. 2 UUC PATICNT DUE CURB. UAL. PAT II GAUOVS DAnnARA A DAVOUS BARBARA DI 7/24/HO 900.00 143 !01 .^.03537 LA73 KCINCL~Jl01NIJ 11NTX 75065 3/DO ON, transfarrod to Wichita Falls State Montoll4HO pital. 14]. as 11AV00 BARBARA A nLACK 01 9/10/40 900.00 66, 75 201 201,1039 7:1 KINOSIND5U MHT% 79065 8 66. 75 66, 75 LAKE Indigent care; no incomo. pL•noq T PAY DCROUIDT PAT 8 10/14/eO a'01 N9104 DFNTQN COUNTY JAIL. "a01 Denton County J811. 49. 25 45. ;iV DENTON Tx f, ACK DOODY J BLACK BJD3Y RS 9/30/60 02.50 s~1 224766 RT. I 2BOX 49 T% 777%>' 9 32. 50 Jr. 90 Denton County Jail, BUYER JUDITH DOM JUDITH 81 3/^3/80 .00 9-10. 45 101 161695 nT 4 DO% 41 6 U/.27/SO 1077.55 1077, 53 DChT^N T% 76201 Indigent care; AFDC denied. " ~,REWER TROY DREWHR TROY 01 9/26/80 36.50 J1 223420 UCNTON COUNTY JT%L7G701 9 02.90 32.50 Denton County Jail, 1 UrOWN CLAUD ORI PITH LORENE 81 V /,1Q 100,%NO Qo .74:.70 101 16%OR:! 016 CONORG34 2 40 /D 1126, 70 1126. 70 VVNTON T% 76203 302 069 Balance oftor Yedicbid, pV LARD ANN SW pU!.~LAnp ANN DUE 97 0/07/g ;1131. 70 97n ::5 S0~ 14804 166ilG VILLAGE L.A"ul 1! 03 u 8/l3/@I~ 1130,00 11 113.09 1:1N1'DN P% 76401 Oil? 3206 Low incoma; Nil1.Ovrton crlterfal S4IRICK ART"US BUTRICK HONURT 01 6/15/72 OU442641'kM 016,10 1 9 603%'8 RT 6/10/7 96,70 'Y6, 70 ANTLERS OK 740V3 0000000000 Balance after Medicare; low income, ~HANOLEn CAR IStIA J01403 RAY11UND U` %/tq/80 39, 75 T1 >1 C179746 09, 75 I1V, 7B 201 01430 garjWaLL oft 74727 0 Oklahoma Medicaid denied, I 4 4 CHCSt40 DGNN U CII~'DFfGR DVNNI9 ' 81 6/14/00 y g j 201 149902 9,~ BMITH 21 6 02,50 2;5~ 1 D .NTpw 1'x %6wo1 . Sexual assaults brought in to ER by Police, `Alll N,:LpA DI T CktR[D c a 6/16/80 n, 7s tot 1g10o7 1000 N LOCUSU Resident of Denton Crisis Contort no income, 14, 75 U44 75 i 5 ~~'wdwwMb,tlr~wrY~finM~rM ~~1MI ;7Y Mal DATE 10/30/00 16: 42~ F L 0 IJ 11 E M 0 n.4 A L H 0 E P 11 A L PACE 3 n ACCOUNTS RCCEIVADLE ACCOU147 STATUS REPORT PATIENT NAME OVARA NAME /C ADM. PATE MEDICAID 8 N8. 1 U'). INS.3 DUE TOT. BILLED NDIRECT PAT, pRFX, NUi9DER GUARnNYQOR ADDRESS pF10l+E R/C D10, LATE M$LCAID II 11J6. 2 ll.!C PATIENT C1VE CURB, DAL. 4AT N DENTCU TX 76201 3074397 OLNICA PERRY COLWICK -CAROLYN O1 7/03/80 492-01.711 100.00 ,60 2 14110 319 HETTIE' V !2A^ 5 DDNTON TX 76201 0173025986 1 7/1 /80 Low Incomu, 170, 04 17L~.04 , CONNER LUCILLE CONKER STACY W 7/ZI /80 452-01-810 100,00 .7 gg 203 201350 711 COIT ST, 1 200 22, 50 22, 50 DENTON Tx 76201 382-8435 Balance after Medicaid{ patient oxpirod. COOK - CHARLES V COOK CHARLES 01 3/08/80 566056166A 100,00 100 129 201 I56693 248 WE Yli oD SAN P~RO CA 98731 31733na505 77 39 7795 Dalance after Modicaro; Medicaid denied, CnAVEN wa EV DENTON CU. J 01 10/04/00 900.00 2.50 2)2 ?.16697 17 NTON CO. JAIL 3 32, 50 32, so 50 VZ NTON UU TX 76201 38^2'-6611 Denton County jail, , DAOV011tgTYOI TH~ryOAW CONORDASOHCRV THELMA St 711/88 453 20 044 100,00 349b•05 3 VF;NTON ' Tx 7r 201 387 $i•33 0 Balance after Modicarol patient expired) °'99 39 299. 39 RAVIS MAft40N CQUNTV Oa DE 01 9/10/00 203 242173 0 1 VACKIC We RTa 9 900 01 DENTON YX 76001 Sexual assault. 32, 30 Dt4LON JOHNNIE M DILLON W 0 97 12/1 /79 IOl 12207191 I9T 1 COX 4-K 4 :2/2/79 b0 996.00 AUR $Y TX 76027 NONE Low income; Hill-Burton critoria, 996.00 996,00 E , 0UVAL KAA~~, gg A~1VAL KAREk at 00 7%10%QO 10! 170588 lNV1NORODOERS TX 2D4- MOM HO 166.90 16,70 " 0807 OR Y 64 400 DERtg4571 DONALDMMNZ1FQ'T'IaON COUNT 917 q/k2/00 '8: EI LEWIOVILL TX 75067 40.00 458 Donlon County Jail, E E3CHDWeft LANKY Dp.NTqN 00 JA 01 9/^1/80 900;01 1 1 101 4'Z1'>11 6341 OHADYU ON 9 16/8126 1525, J9 DALLAS rx 79221 Denton County Jail, # 5 t Ii ~JIMN~~IM.MY.YYMR.WY~..~MwwMiNW' Ib,~YM~a.w,I~e,Y,w•M~,~M,~lA4MYII,~VY •Y.r..,, .U ~~M, it r i 11 DATE 10/30/00 16.46: F L 0 l! 19 E M 0 R I A L H D S P 1 7 A L PA08 4 ~j ACCOUNTS RECGIVABLE ACCOUNT STATUS REPORT ' PATIENT NAME p PAT, PRFX. NUMDER OVARANTORRAJURE58A+EpHONG R%C DIC U/A7~ MCDIC1IU H IIS.I DUE NA8j3N7DUDUE E ~OT, tlYLLED INDIRECT ' VRR, DAL, PAY N RZA MARY OAAPA YSRAEL d1 9/27/0p ' IO 132694 BOX XR 4y EY R7 ` TX 76227 NOME 2 6/07/068 200333901 190,00 .00 3344,90 1169. It 1169. 11 • p Low income[ ' 20280387918 KECARROLL ST FU1VRT 4TYH(AflIT 010 10104; 00 900, 03 OENT'ON TX 7b2Di Denton County Jail. 93.00 H: OKAY Pr[ ORAY ' lot ; 2018 200 AVE D NOW PAULA 81 9/2A/80' 150. 00 UF.NTOfJ TX 76201 3871 t43 9/ /Lap 060, 00 fOdb. 35 Balance after Medicaid, ORjFpIN JUNE A ORIFrIN JUNE 8 900;01 g j 10 102^665 BOX 1832~g8 7~^8. D8 DENTnrI TX 76201 NONE Patient transferred to Terrell State Hospitit no' nnceme. 7e rj YARLAN 6kErfLJA F HA[ILAN SHFLLIA at 4/04/80 003 3;806 R BOX 631 190, 00 00 $ 30. DEMON TX 76201 382'6109 203902901 32.50 3L, 5 98 Dalance after Modicaid. j 20; 130999 SUBA14 SUE of 4/06/80 rl ROD 13 U12 PT. WORTTH 1)R IVE 11146 06 0 DENTON T> 76^201 01738a7360 d 56.00 56, 80 HOLLAND FFIANCI3 HOLLAND Low income. 201 791H6 1pQ9 WILSi014 FRANCIS 01 0/03/79 000.00 .00 l I3. 30 v. DENTON TX 76201 017302490D D LOw inCQ1a, 120. 10 i.: b, l0 Hpp SH'RNMANTnN HOLLAND SHERMAN ^ ~r 30I lDi4477 "09 WILSON d 2104/00 .00 5 Low income, ^ 3Q, 0 TX 76201 3026950 3..90 32,20 k{~NT EDIV¢¢+RppD O kV'IT EDIJARD 1 0 1 2 109 l4 01 /15/80 433-pp9-701 108.00 1l;G3 2f 1 4E14 VILt'L YX 7$067 436.438 1 /16/!30 4-174167-0 15 .00• 40.00 0 Oa i Balance after Medicaid. 6 ~`A l0KSOF1 CHAft aI0TYU JACRU014 CHhRLOT7 dl t/Id/8¢' I 1 00997 N BOX 075 2 I 'wM1/f3 481013101 100,00 .00 ! D 1J7GN YX 76201 1204.70 801ance after Medicaid, ~I1HNSON ADARAN JOHNSON ADREAN dl 9/?9/98 1 177194 321 0 ROUTH 8 I /.00 946, 00 DEHTUN TX 76201 .102-9404 05.00 35, 00 Balance after Medicaid, , ¢H3 NSf: to ^ LA d 31fA JOHIJJON DONNA O 2/ /CIp 2.'3372 f~ BOX 134 > R/![9/00 501033701 04 J 00-000 to' Mod'l00 1 {4'!, 00 `19R 88 < j r . s t . 111 1 IMF y , [ .J i~ i I DA TG' 10/30/00 16:49; F L 0 IJ 14 C M D R I A L FI 0 9 1 I 'i n L pnpC $ , 3 t. ACCOUNTS nCCEIVAIILG ACCOUNT STATUS nC oky r I PATIE~JT NAMC OVAnANT 10 NAME F/C ADM, DAYS MirDIcA11C f1 IN4. ( qUC NAT, ftFX, NUIIDEA CUldiANIOR ADURrX-i NHUNG N/C U19, OME MGUICAIO 11 IN.<, ; UUG Hn7laN70UUf TOTR, bIi Lt 'D £1A71riccT PIL07 Notlrl iX 761170 606 2LLaZo V,CLLY TERRY KELLY J C q! fl/OI /00 101 21^2490 I-W S HOWETH 170.00 00 l 2 9/1W00 502JttMl 70, 00 2564. 00 QA h'tirVILLE GGO-0076 , TX 76840 ;Balance after Medicaid, 70. KINNBY NOXIIi KINN8Y MOXle 61 O/19/79' 101 81604 414 MML 100, 00 1 0/20/79 IM , 60 UCNTN TX 5661390 6alan¢a after Medicare, 103, 70 , 70 KINNEY MOxx1F KIMNEY MOXIM 81 7/20/88 453LO9450A 100.00 102 61604 4 4 E MILL. 1 //^24/6 1384.30 O NTON TX 76201 9661390 BalanCe attar Medicare, '108,40 154,40 KNIOHT JACOVI D K1110HT BAUtJDRA 8 150100 20t 203497 710 1! PRAIRIC a %/24/80 go i D2NTUN TX 76201 307_8709 Balance after Medicare, 24.00 24;06 ' 'C8 DAVID W l,F'B DAVID 81 10/14/80 E{ X01 P.0120 UHNION'C,OUNTY JAIL 9 40, VENTON TX 761.01 Denton County Jai 1 , 40, b0 40, 0 nnvn LYNCH DAVID 6~S E suC£i s6/.>7 r, 6 IX) 6 .00 FInN01ir+ ///119/00 1/80 ~i8a~ 1 Tk 762.7 490-3077 OPC1 Transferred to Rusk State Hospital, 8751, 50 MARTIN CATHY MARTIN CATHY 81 9/83/80 yy pp 1 Of a8a7A5 UTN CO JU'Jlh'(LC RL~TEfJTfON y 900. 01 0 OENTON TX 7620 Denton County Juvenile Detention Center. M 00 p 11r,LCL~AN CYNTHIA MCLELLAN CYNTHIA 97 9/Ob/DO 900.00 201 c17939 806 S,HATCHCq 8 g Lpw16VILLC TX 75067 81,75 91.79 q Low income, i 1~1LCw^ IgVq GT1154g 111ULF-% SIDNaY 97 8/7/60 900.00 UF:N1'ONYLGIl TX 76201 38^a 8 q/. 3/60 1264, 90 3753 1.763, 90 1263.90 Low incomes Hill Burton Criteria, i 101217476 CLpATONT WORlyIiLii~~RLt/1GiS01 ~ONRTOIJ 9A 1!%C10 905 UO 603 GO 91I,~0 ' M LB CLIFTON MMILLN CLIp7ON qy 9/1~'/Upo Low income; Hill Burton criteria. I~ '217976 ~+500 PT WORTH DR LOT 29 6 9/dJ/00 900,00 f4 0,8~f 1 UE;NTpN TX 76RO1 NOW LOw incense; Hill Burton CPiter'ia, 14518,8) 14" 8J I ~ 1 , J r , y'~1`f ' ~«w~+w~...~+,~,.~.,,wwwwrw~wu ♦ w „ ~M ,.1,•. , r„• r. M , ,.F, , t" , r , rr fi X40 ~°l t1 ~ , 4 I Y , wn Owl UATC 10/30/00 16; 94. r L O W N C NI 0 R I A f. ii 0 S P I T A L PADc 6 A } j ACCOUNTS Rt.CC:1 VA11Lr ACCOUNT OTAT0 RIiP(IRT PATJCNT NAMC ?"IMPANTOR NAMC I°/C AON.DATE: Mc0ICAUL' fl INIT. 3 UUC 1N'i.;i DUF TOT, VIIA.FU INI)OKCT PAT, PRPX. NUIDCR CUANANTOR AUURLsti + PNUNC R/C 1118. UATC Mt- CAID U INS.0 Dkk PATIENT DUE CVR1i, UAL, PAY H ' MOORk JAMJIS T MOORE JAKS 01 10/14/00 39,75 not R.2^.9146 01•;NTON COUNTY JAIL 9 . 39, 75 39. %5 DENTON TX 76001 Denton County Jail, MOORE: LECINARO E 1"r1QPv LEONARD 01 10/14/00 `12 91 201 ^29130 DENTON COUNTY JAIL 9 33.50 32,.'0 t DENTON TX 76201 Denton County Jail, M09R1 JOHI aa K Mlsmn18 JOHN 81 9/00/00 3 , 5b 20l e"4798 L~WISViLIAUWa 0 TX 75069 Denton County Jail, 32, s0 3:1.50 E, MESCARELL1 VINCENT KOSCANCLLI VINCENT S` 10/07/80 qv' 5 201 2.6985 DEbTSN COUNTY JAIL 9 152,00 12.50 DL'NTN TX 76201 Denton county Jail, ? NELSON JACKIS 14c.LS N JACKIE R1 6/19/80 94, 00 t: 2201 191833 4575 YLVESTCR T p 99.00 94, 00 v DALLAS X 75?19 358-0036 Low inCeme, RgYNOLD TERRI R4 3EE:NE RUTH 97 6/14/00 300,90 100 101 151746 I.hKC00ht3~5 TX %9069 497 ?730 6 6/13/GO *99.00 1557'7, 00 Low income; Hill Burton criteria, ' RIVRRA OSCAR DENTO14 CITY et 10/13!80 p 201 1:29071 i04 SNDVSiTkIAL t1 173, 00 173. > 00 T NY014 TX 76201 Donton County Jail, ROR JAC14 E COUNTY JAIL 81 10/20/80 0p7,50 x01tlERL31464 OUtdTY JAIL 9 County Jai), D7, DO 57, 90 LNTON TX 76201 Denton , ?ALAS Tart"A SALAS 1098A 81 2/03/80 fl. 35 01 144139 0116 WIIAMC 8 Daianco after Medicaid, SG DENTON TX 76201 0173076304 ,00 6.00 SCOTT AAV18 Lr.r MTT DAVIS LE tl1 '0/10/79 100, 00 00 209, 00 t' { 101 125738 10:)4 D1 EPWO ll DR, s 111/x'4/79 006 40 609 50, 00 40, 00 i GARLAND TX 75040 494 9034 Balance after MOdiCOid, SHANN~N OINOCR ISHANNI]N L1fE R 97 1Q/Q /08 900,00 ~j 96, 4g r 01 116407 ~1. 3 90 MOHAh'N !1f , ^ 9 1 /3 1/v 9396. 45 Sr4G. 111 &NOKU 7X 76262 . 430 196 LOW inC0o10, D1VAKIi ETHELCAN DHUMAKM STHULEAN 81 6/07/28 8" 3 9 1o g salaneo after Medicaid, 45) ' t0 11049 DSA MADDOX 1 6/29/0Q 3 021360-0, 150, 00 00 f13, 56 3. i ,t . [ E b" I a1e~~ uj, ti 'y , r t ~s t)ATE 10/30/00 16: 9E: F L. 0 to M E M O R I A L H D t P I T A L PACE 7 I ACCOUNTS RRCHIVAOLE ACCOUNT STATUS RC:PORT PATIENT NAME gg r' r PAT, PRP.Y, NVMRER GUARANTORRADDRRN5S + PHONE A/C DIMS. DATE ME'DICA1 U INgg 3.2 DUE PATIENTONVE Cij111t.8DAtL. PAT10 CT DEENTON TX 76201 397-0440 101LS196063 RO4O4ELAKE:VIEWMELSER ROME 840 9/02/13 190100 16.00 5016,00 LAKE DALLAS TX 79065 NONE 0 Balance after Medicaid. SMITH JAMES C C 9141714 JAMES C 81 7/04/98 450°4P-811 100,00 .00 7E5, 90 103 29983 IfOX 779 n 1 7/09/80 146,60 146,68 VENION TX 76201 302 90.3 Balance after Medlcatd, t' SMITH RALPH 8111TH RALPH 8 4/14/80 453 30 252 100,00 00 i 102' 101:984 131 qq MORSE . 1 4/;10/80 1251 687 0 190, 00 :00 P 3224, 30 k DENTpN YX 762201 q, 40 2Ci, AO Balance after Medicaid, SONS LLOYD SONS LLOYD 8 O/OS/SO A 00 101 206102 AT 1 nox 601 88 4 SANOL~It TX 76,166 0/09/90 OPC, 090 30 09 30 1 t, SPRApAR1' JENNIFER SPRACIARY VAk[N 97 10/12/79 301, 70 „OC 203 6'10%3 ,+50 ' V. PICK) NNG'e 6 490.79 4 )C. 73 v UCNT0IJ TX 76201 LOW iRCOmO, i SPRADARY %)EnRE,t, bPNAbARY JURREL Of 6/04/00 0'51-26-370 100,00 0p 77 101 196346 CAR INN ^ 6/12/110 420164,!01 OO 343, 30 1D4 jg UANOER TX 762166 4911"320ry I 2 Low income, s VAATLINO 6 VIN CEIItAWGR OI(OMG CUMSERLA Bp 10~13/UO 900.01 tJ49, S0 i DI•:N'PCN TX 76201 3015112 o Ej 045.50 8415. GO Ro'sident Cumberland Home. BWINFU~D CAROLYN F CWINV00 CARLOYN 81 9/14/80 150.00 AS t. 0t 20149 1400 Ny LOCUST x 23;070~^Ol 20.40 281. ULI4TQN YX 76201 383 ,2024 s EI, b balance after Medicaid, TAMPLCN JACK1t3 TANPLEN JACKI9 e,. 9/.b/80 30?. 64659 kT. 00% 51A 02, 75 DENTSN TX 76£01 Denton county Ja11, 82. 7D 8"' IS t ! 0 ` 0 1 t i I01R1d01704 MA1tT 1 A 110IOT MARY 8 7~/kJ0 00 AROYLIX TX 76216 0 1/11/0 1011 00 SI~FJ U4 E i OPC, Tot CHC YL L THOMPSON CHVIYL 01 7/20/00 150,00 IOt '.,'04;.00 I 2 DOX 160 2 7/2VUO BfO,?0 TAVU11I Y YS 7642% 365 2400 Low inCOnIC. 121, 60 101, Gtr } t+' n , t;. i V4 F N' c~ilk°ir 3t: Y r i 1 t i BATE 10/30/1)0 17:00: NLOW M E M 0 R I AL H0BP I T A L PACE 0 x ' ACCOUNTS RECRIVADL5 ACCOUMT STATUS REPORT PATIENT NAME OUARANTOR NAME F/C ADM. DATE MEDICARE H INS 1 DUE INSJ DUE TOT DILLED INDIRECT PAT'. PRFX, NUMBER OUARANT011 ADDRESS + PHONE R/C DI8, DATE MRD1C'}ID It IN8:2 DUE PATIENT DUE: CUnk, DAL, PAT It i YUCKER LAWIENCF. TUCKER LAWRENCE at 2/12/BO 100.00 .00 201 147861 6R5 FI', WORTH DR. e39 84.60 D,.NTON 7X 76201 NONE I 6alancoafter Medicaid. 24,00 IlkOo BRA DE14TON CO, j at 10/04/00. 900.01 n2. 5 A w 1116689 D.NTON CO. JAIL ! DENTOV TX 76201 342-8611 Denton County Jail, 311,50 ` W°,S7• LOIS a WEST KENNETH 01 6/13/80 00 it1 1E6pe'2 61y SKINKA, DUNTON H 6/L8/00 31. b0 4P) 1 11 5661348 Balance after Medicaid, I: WH TSO,N DE II 2 OIQ Dl N1JIEi at 6/19/80 hB, 71) 1 801 590298 At1~PONDER 4 112 O DE,N7ON TX 76:01 68.79 , 61). 73 I LOW income. WSt,LSAl1^a SIItRFY 1111 LIA113 SHIRLEY 01 7/31/90 1 200 13813 701 lrA1NWR!'FI1 334642201 32. DO DEN1'0N TX 76201, NONE w 32 3 2. 50 sue, by Low Income. Y WILLIAM;' SHIRLEY Y 1111l••LtAM3 - EHIALRY 01 10/06/80 21;I 70080 700 NAINWIt10HI 900.00 ``.9, 80 a DENTON TX 76.^01 NUNS p 69. $0 E,9, 60 pp LL Low income. 10~L1A`,'Jlt hACF,'N DEL li /NDLL~IAMS WANDA B1 7/19/80 .00 Vt b 7/x.12/00 413. I g LAKE DALL/,0 YX 7r06D LOW inaani0, 433, 11) 40,'1. lfS , jLSON MARTHA "It 50N MARTHA BL t.?/kG/Bpp 400, -OD 100.00 00 1d # 3 ! 36133 9.^,0 MAII7IN t O 34.43 iii DENTON TX 76201 251.40 `31, gp 6alanco after Madicarai patient explrad. 1 1 f ~ to-al-ao I F - J tC ~ , ! y`' M~~wuerwnr~•r.-+.w.~...,....«w.«..~.....--«-....~..,. _ -.--.«.,.,.r, n...,«-r..ws.+....~....rr~..a.,....1.....,...r.1..i~~Y.W44.WLM+w4YMAl1J.W l1~J' °1'd,W` ~I-- - rwr..ww.r.,t , 7,! r V j.11 'apt pA3E 10/00/I?0 1 % ; 0 2 , F L 0 1.1 M E M O R I A L : ...H 0 8 P 17 A L PACE 4 •PATICNT CLASS COUNT' PATMNY INaURA,NCE TOTO. D" DU DUE OUYPAY MNY NI , n,1°Ar1F:Nr 139 25, e61, 22 .00 29, 561, 22 , 5MCROCNCY 78 2,429.10 ,00 2,461.60 a TOTAL AIR 77 27, l r90.OO .00 20,0«2.82 r 1 s l~ U r r' i , •I WI.H,• •.H 1.,. 1. ~1 ~NM~M~IMnYVw.+wM~..W...w~ww+....u.1w.w.• RV~IA•M.Y~MM~~. y ,It tt ' ~ 2 r 4 fs~ ' ~+if f. ' . DATEit/03/00 14:48: FLOW MEM0R IAL HOOP I SP.L PAGE t t.i DAD DCOT TRANSFER REPORT FOR PERIOD 10/01/00 THRU 10131/OO PATIENT NV140 R aa+aauaa+ PATS NN7 NAME auraaaaa,r aauuaaub 0UpRANTOn NAME raanaa*# DATg DATE DATg OF r_DALA14CE PF% I~UMDE NAME, ADDR, C Y, STi ZIP NAME, ADDR, CITY, OT, ZIP ADMITTED 010CHAR0ED WRI7HOFF OF ACCOUNT 101 11787 ABROy51pp FRANCI8 ADARYCII FRANCIS 9/06/80 9/00/00 ' 10/31/80 293. IC: l4IlG6 VILLAOE 4' ONIER VILLAGE WIfiV TX 75067 LpCW10VILLE 7X 70067 Unable to locate. 201 19718 U NTONWC00 ' DACT%A 76201 DF.N7 NW gD BATXDA 7620I No rospons~e to CollectiO6'effortsi/80 76, SC ` 0 10/31/80 A08, 38 101 17509 A14LRUDD8LL I EMMTX 76701 tlj~aOiJUODELL ~ JAMES 7620! Mov5/02/0t 0 no address, 'S 701 10699 ADDRNOLD , JANEY ARNOLD , RICHARD 5/11/80 10/31/80 48.75; 41b HEADLEE 415 Hl ADLgE DE NTON TX 76201 DENTON TX 76201 No response to collection efforts, i ' r, 909 0010 AVANT , 2001:27 AVANT , ROBERT 8/06/80 10/3l/$0 133.15; ' 6M ON 1$20 tlC07T ?r ; 6MON TX 76201 g0ALNr NnnKx TX 76201 NO rOSponse t0 Collection efforts, 4/29/ 4/11/80 to/W' NKS 101 17397 C R 04LTONSI SHtTXfiY 77777 CARROLODON81 ' SHIRLEY YX 77777 No rosponsee tD collection efforts,/BO 887, 30; 101 16706 tp,ANN TCgqR , Rnq~Rr ANNT TIC,R LAI4t2gVy . 4/07/00 4/11/80 10/31/00 1016.80 'AITtBAL1.A9 HAVEN C8TAl7xH 75065 iAK80ALLA HAVEN 8YA7B8 70065 Arrangements not kept. t 201 19200 BAREFOOT , STSVE RAREFUT i STEVE 6/20/00 10/31/80 24,00; l110 AVC.0 0101 ``11o AV ,0 k101 LNTON TX 76201 t)f4NTON TX 76401 Unable t0 locate, t t 001 19062 IUuApTY i DIANE DUTY , DIANE 6/18/00 10/31/00 32' 001 AV9Ii~Y TX 0 AWRY TX No response to collection efforts. I~ 202 18706 EEAN , CRYSTAL ErTAN V IX THOMAS 6/10/80 76701 N 10/31/tl0 92,80, t 7 5 BOX 274 E IX 274 YX 76001 NO response to'colloction efforts, aN7ON T% f 248 11929 7ULL , CYNTHIA q Ll ~ , CYNTHIA 4/00/00 10/31/00 D~N 61, 90 E i 1 1/~ EAOLE 07 ON TX 76201 41U N70 n ~?AOLE H 8 TX 76201 ND rosDonsD to C011acti0n efforts, v j 201 15043 ULL11 i LEW18 NB LG , LEWIS 3/13/00 10/31/80 241.21+' C Hr6CI1 TX 75034 P' htTX 7e034 No response to ColloctIOA offerts, #g! 101 17202 n9 0AKE , WIL41AM 6~A~tE WILLIAM 4/97/80 0/00/00 10/31/00 96.E 14 OZ1N00 TX 76201 1LQTOMOZlN00 T% 76201 Balance aftor insurancel no rosponso to collection v DNTON j efforts, G Y If elf (L~• C 519 tintt t , use 1 ;I DATE 11/03/80 14:46: PLOW ME110A I Al. H 0 6 P I T A L PACE '1 . A DAD DEBT TRANSFER REPORT FOR PERlOb 10/01/80 THAV 10/31/60 ll PATIENT NUMBgER u~rrernaa PATIENNT NAME Meeann ra rwaamuaa GUARANTOR NA114 +,annun,rn DATE DAYS PpATE OK BALANCee PPX NUMOSR NAMEr ADDRr»CITYST,~ZIPNAMEr ADDR, CITY, STr ZIP ADMIT Eb DIS MARDED WRIYEOFF OF ACCCIlNY - 201 59401 l,AND , BUNNY 1B1 D , DENNY 6/25/00 10/31/80 ,50 10~,OYRTLEr T% 76205 0~AN 07Oyy NYRTLE 50 TX 76205 No 202 14676 D A Dry 09SOrM pp AND BESSIE 6/13/00 to collection ef10/31/00 $4,00 R DOX 653 R BOX 653 D NI ON TX 76201. DEN ON YX 76201 No rosponse to collection efforts, 201 13362 FLAONKCCXX99 GHJP , COD19 BLANKENSHIP , EDDIE L/03/60 10/31/00 46.00 KRUM TX 76249 KR011DOX 459 TX 76249 p p No response to collection efforts. 201 1266 1~,STELLA 0143 ` JERRY T% 76201 EM~ STELLA 0123 JE TX Y 76201 5/27/80 10/31/90 79,25 C Y Kmdl left no address, 201 11382 nawanAA , AIBHIA D WERE r PAUL 3/23/00 411 ppONpER 11201 41 p0N'DEIt g20f SO/3!/00 42, 25 DEifJTON TX 76201 D NTON TX 76201 NO response to collection efforts, 101 9309 p~bitlOpYDpp , EVELYN RR Y gX B, r DEN 9/1'0/79 4/20/74 10/31/00 45,87 CNKKEX.T2YX 76432 B ANAET TX 76432 No'rosponso to collection efforts. 202 13907 BOYD r JOHNNA BOYD , MICHAEL 3/09/00 t0/31/00 92. t0 491 Eg7b2 441 VILg L TX 201 17576 DO LW V ZARIH , DEBORAH 75067 D01f1AApVHLL r BEATRICE5067 NO 5response 105/80 t0 c011ectton ef10/31/00 43, 80 zz 77 It2OSVgtA2WOOD 1 70 RS WDOO L 141 LL 6E TX 75067 L 1jI6V1tn YX 75067 NO response t0 Collection efforts, I' 201 13165 RACK ggyy , BRENDA RACKNrTY r BRENDA 12/20/74 10/31/60 77,46 p15 OTAN LN, ,~jO1tl kOTAN LN. DALLAV T% 70229 DAE.LAO TX 7511.^,9 Arrangements not kept, 't 100 17350 ADDINX 7145 r JOHN RA❑01~?}OX 7546 JOHN 7/07/60 7/09/80 !0/31/90 144,85 ENV T% 76084Gf+UB TX 76084 MoYed1 loft no address, i r t 201 17350 BOON JOHN gAAnEN JOHN 4/28/80 10/31/80 73,78 d 1/2 W 8YCA110E TX 76201 pOoOry/g W BYCAMORk TX 76401 MOW; loft no address, T i/4 W OYCAMD~t& 4211 1/2 W BYCAMOR~ ` 802 17350 ~DJADaN LO?01 JOHT% 741201 DENYpON JOTX 76201 Moved; loft n0 address, 10/31!90 16,80 f p g E~LI 201 16698 UA2RIeT 03 r BRENDA Bg 10/31/80 32, 80 AL 'f bVT 03 DR OA DA 31701 Fbv6/05/0 n0 address, ASANY OA 31701 t I e I s , , n)yti I a .I f 5 { I DATE 11/03/00 14146. F L O W M E 11 O R S A L 14 O S P I T A L PAQE 3 DAD DEBT TRANSFER REPORT FOR PERIOD IO/Ot/SO,THRU 10/31/80 PATIENT NUMBER aaaaaarna PATIff NAME *puaurerua uuuuauua QUARANYaan NAM' awuxaaaa DATE ppgq7E DATE OF BALA1lCE PFX NUMBER NAME, ADOR, C1T , OT, YIP NAItE, ADDR, CITY, 6T, ziN ADl11T7ED DTBCHAROBD WRITEOFF OF ACCOUNT - . 20:2 1294 (RENT SHIRLEY DRENX SHIRLEY 5/1WOO 10/31/00 105.50 i RN70NBIN80N TX 76201 13OXNSON YX 76201 No response to e011ection efforts, =02 8863 Bn~CE DORnEEN DOWDY , ETHEL 4/12/00 io/31/00 111,25 20 S RUDDELL 05 ROU 8 nUDDELL #5 DENTON YX 76201 DENTON TX 76201 He rosponte to Collection efforts, 201 10954 R1,A1,1YT23DN0% 37 JEAN IIRY}~ITNODNDX 37 EDWARD 6/13180 10131/80 308,50 ARGYLE TX 76222 AROYLE TX 76222 No response to collection efforts, 101 2416 BROADUS , MARCIA ~A8CKOLMN , CEORIC 3/10/90 3/13/80 10/31100 302,35 6 1 AUSTIN 02 1 DAIT NN TX 76201 gpEOONTON NDONDERRY 8203 T% 76201 5olanco after insurance; no response, 101 20067 PROWN ' LINDA LAK&BAALLAI71 l LITXA 75065 Arrangeme8nt nOt7kept/80 10/35/80 476.70 10/31/00 606,20 f t01 15040 LBRYANT O%EO01AL~.AB OAL7X 4A15EOVALLAe , AR TX B 75065 Arrngemeent n0i: 2/23/90 kept, 101 15340 B YANT OR RICKY DRYANT SR RICKY D 2/20/00 2/01?iSO 10/31/00 56.60 R g nOX 1146 RT 7 5OX ii46 D NTCN TX 76201 DEN ON TX 76201. Arrangoments not kept, f' 201 19791 K AkP r N+Y FE B1UKHARRI , ASDULMAJE 7/15/00 lo/31/00 40,50 1 0 LEASE BABT N 03 C08pVAL4T99 N ON N 7X 762.01 OR 97300 Oalanco after insurance; no response, BOY DD 201 19730 hYR ESQ% 89 Sm.0! DqM %L 10/31/00 18, Do l' PEN ON M 76201 R! 10koX: 09 SILVER DOPitt MH~76201 unable toe locate. ` 101 22140 O ~~HtA,OMVSSE #93 ''BOO 4URKKHt18UCt3G #53 , DOB 9/18/80 9/22/80 10151/00 1611,40 DENTON TX 76201 HN70N TX 76201 Unablo to locato, 201 17611 B1fUONELk l SARAH tS~U11NY$ , CAROLYN 5/06/80 10/31/00 02,50 DBkTON 0 0103 TX 76201 0 LLAORCApY TX 70209 NO rospoase to collection offorts. 201 10097 pYR M , CASEY nYROM ` , DONALD 5/08/00 10/31/80 40, 00 AT OX 102-t; RT SOX 182-F AU6 E TX 76227 AUD IIY TX 761227 NO reapOnSo to C0110ttion efforts, f 101 16604 a7~j4gA Eu 1,cn , JACQUELINE C~7jnoonDEW C W 4/07/60 4/13/00 10101/80 521-30 y P1071P0INY TX 76250 PIL0TANp~NY TX 76250 dolancu after insurance; no response, I t , ' ~`VU y , % 4 ,t`5 F. l y y i ed; i a. ;r J , DAT& 11/03/00 14:46, ~ F L O W i1 E N O R I A L H O 0 P[ T A L AACt: 4 A ~i DAD OUT TRANSFER REPORT FOR PERIOD 10/01/00 THRU 10/31/00 PATIENT NUMoEA Mraasa ww PAri-~, T NAME a*nwawwaw aaauaaaw OVARAN7TOR NAME aawwarww DATE PF% NUMDER NAME, ADP-, C1 67, TIP NAM$, ADDR, CITY, oir IIP DATE gg AT « « ADMITT9 0 DI8CHAROED pp p DALANC WHITEOFF OF ACCQ NT 201 10132 C 1RYER , SANDRA CC « A~,1 AOX 362-C 1?RED 702 OX 362 OANDRA 3/20/00 4 D AF?F TX 76201 D N ON TX 76201 Unab10 to locate, 6340 ppiA66Pp 10/31/00 80,60 N r N OO~Q8ELAWN MICHAEL 00~y CHAFF 0SELAWN MICHAEL 6/22/00 W 10/31/80 509,60 TX 76201 hN'fU 7X 76201 NO response to collection offOrt «^02 9393 DENMD2R8 r 118NN18 CHAAMIJUFR8ltl43 DENN28 6/02/00 f0/3, O DOX 1045 u X otj /80 63,09 DE TX 76201 DENTON TX 76201 No response to colloction efforts, 201 13b9S C2N29MHEP10p V RAYMOND C620 HAMp*pDRY RAYMOND 3/07/00 10/31/00 4f. 00 CHANEVIt 4 TX 75067 LVWItlVILI E T% 7x067 Insurance doniedl no response Z02 f4g77 4gq6 Att,L8N FARAWAY V14 UqqiipC y08 144 pHgN6EALLEN PARKWAYrVIy 6/21/00 AITXLA 0 8 H0 STnN 61, 50 201 13424 10/01/go Tx 77010 HOV YON 7x 77010 No response to collection efforts, C~HhPNAN A fA~VbRBY DQX 01 PATRICIA T ~IAPMAN Dd% $1 RONALD 3/01/00 10/33/00 43.2a 1 3 op,CKKMORTIN 7X 76227 AUggPRuY TX 762;7 NO response to collection efforts, AD~V 701 17048 a011gNLg31LLE r EAAYKgT27b240 OA1N JVL460R7IN ' EARTX 76240 NeSTINIZ N4/19/00 10/32/[30 33 00 4 ? 101 16070 AqKLET No response t0 collection OffOrt NyON r TIMA CIN , DA14NY i NOT ON RY q 0000 f1Y-MNONS AT 4 3/70/80 10/31/t30 47, 7a i< [90"1 Tx 7bZ01 RO fRNOTOIJ TX 76201 No response to collection efforts, Z , 'RICHARD EMVNTgg Q1 } g 336 {I c e EF1TpvNNEN~p% r RICHARD 6/I6/60 10/31/80 33, I p T% 76201 DE d hTURRN a X 3:?6A 7X 76201 No rogponse to eolloctlon efforts. COLE 19 594 X01 f460S NAGHV1LlU&HdN AVE, CHARLES 37204 NA HVlgU HON AVB, C14ARLEO a 7/04/00 !0/31/&tl 32, 90 LL ROCKY TN 37.^.04 a 1101 CR1O15p t] 8r1NR+iOX 320 TX 76266 rL 1lOX 201 330 ROCKY 6/27/S0 16/31/80 3e,30 ANOLR TX 76266 No roSponse t0 colleetl06 offort9, 16378 OL N N JOHN J~g ti ' 0 PRAIAil1 TX 76201Q~NPRAIAIS r JOHN 3/30/60 l0/31/00 99 SO 1301 14866 p 1. H" r UBAN N TX 76201 MOVOdl left rto address. M r°~x 23692 7WU ST, TX 761204 11TONNLSTfC DEPT, r HETXN 76204 Oalanc0 9 after 10/01/80 29, 00 insuranrol no response, , i. ,Fly • • - 1, Li, , i, DATE 11/03/00 14:46; F L O W M C M 0 R I, A L H 0 5 P I T A L PACE 5 DAD DED7 TRANSFER REPORT FOR PERIOD 10/01180,THRU 10/31/80 ~I PA7S£NT-NUMDCn qr»7axaaa`pATICcNTwNAME ^nnannapzr aa^nananMOUARANYOR-NAME «uast+tanra YDAT -r __DrprE_ DAT6^ OF +rVALA14CE^_ PFX NVMUVA NAME, ADDR, CITY OT, ZIP NAME, ADDR CZ(Y, ST, ZIP ADMIT ED DISC t~~RCED WRIT CO F OF ACCOUNT 101 19371 OLWICK ANNA OLWICK LARRY 6/23/60 6/16/50 1013L/80 113.70 10 DONNIE ARAE 0 ~1UNtJIC DRAE DENTON TX 76201 U>~NYUN YX 76201 No response to collection efforts, 101 15724 COMPTON ALIEN COMPTO OAkr 3/09/80 3112/00 10/31/80 151,20 lov''y N CENTRAL 6P 02211 10029 0 CENTRAL E%~ 02, i DALLA9 Y% 79231 DALLA9lL 75231 DalanCe after insurance; no response, 201 1877 dd3N ALLMEADOW 02t PAMELA 6OIN~L Lt1EADOW 02 ' PAMELA 6/10/80 10/31/80 149.00 uDDENTON TX 76201' DENTON TX 76201, Moved; left no address, i .".01 1;747 Cg 0NoN'(2 tt DRADLEY O'S'pNCR t CECIL 5/10/80 l0/3f /80 44.00 R CHARRD5014 TX 75081 aICHRRUaONY TX 70001 Moved; loft no address, 102 11153 19 4 W SYCAMORE ' RYAN C1$2~ W SYCAMORE ' D03DY 3/24/80 3/28/80 10/31/80 651.79 GENYYON TX 76201 DLN1.ON YX 76201 Aalanco after insurance, Ao response. 201 17302 pSOP1SR , JERI DOp nMORRIS , LAMON 4/27/50 10/31/80 07,75 SLR ?0 RUDDELL 020 DLN70N Y% 76201 MCKIt•1NEY T% 76609 No response to collection efforts. 20$ 16982 C UATN VCn09N1A COUR7NEY VERDCNIA 4/13/80 10/31/80 44,50 N RTNw D MHP LOT 143 rl'9I1 WGOD MHP LOT 143 LG•WWt10 LLE J TYyX 75067 LLWWIIttJJVILLE 0c, TX 70067 No response to coMeti0n efforts, C8AIG 2/2 /So ' 101 19800 I1LIOt4rtNaNWASHINOTON~ MdobTXP)7!l040 I IRMANW.ASHINOTON H106T%F?75090 Balance 4aft0er irtsuranc/o;Ovnable/t 1 locate, 203, 21 1 201 x0233 RAMEn , L014NY CI NEF r L014NY 7/20/80 10/31/80 138, CO 40.4nIIEYER80N LN TX 0 'Mllo£TBnSON LN TX 0 unable to locate. 202 9904 g8c0.R0% 11 , WILLIE CCREAN li ELMCR H 7/11/00 10/31/00 65,50 j UH TX 76266 Kk h TX 76266 No response t0 collection efforts. ' 201 14140 jftIIEF t JOSEPH i n~llG~Cj , JODEPH 3122/80 10/31/00 19.00 R 0 WRLCH ¢ILRLCH s 09NTON YX 76201 D N1' N TX 76201 No response, to collection efforts. 199 61136 CURRY , TINA gin Y POX 111£ 0LOROE 11/13/70 11120/70 10131/80 745.55 3 g i 76234 CIRAT~IR YX 76234 Arronganonts not kept. ! i 4747 ~ILOON WILLIE 76201 D N7TIS ON1LOON WITXIg 76201 pal n3/03/00 ce after Insurance; no rosponseg0 198 1R t ~ hilt , 615 ' M4 yf 1 1 } F t , r r f ± DATE 11/03/80 14;46. F L 0 W M E M 0 R 1, A L H 0 8 P I T A L PACE 6 I ~,ln DAD DEBT TRANSFER REPORT POR PERIOD 10/01/80 YHRU 10/31/80 I'I PATIENT ~VMBB:R *uv****** PAjjVIT NAMH *O******* n*u***** OVARANJOR NAME ***0**** » DATBp«p«Tg_ 04TE» OF DALANCE PFX N MEER NAMES ADDR, 8T ZIFNAMEP ADDR,»CITYJ»5Ts»Y_P»»»»»» ADMITYEO 01820 (I WRITCO~F Of ACCOUNT _ . 203 Into DgIIDEg HICKO3iY JOHN iD!021DE, HICKORY ' JOHN 5/31/80 10/31/60 53.00 , gCN1ON' TX 76201 DENTON TX 76201 No response to collection efforts, l01 14574 RA,V1DD08~ S00 RAYMOND RTV1D[10 100 RAYMOND 2/07/80 2/12/80 10/31/80 190.94 F4VI+AALL£Y V1EW YX 76272 VALLEY VIEW TX 76272 Balance after Medicaro; no response, 201 18273 DAVIS CHARLES DSA,VIgg CHARLES 5/25/80 10/31/80 85.00 { RT. 4 ACORN RANCH A ACORN RANCH DENTON TX 76201 DENT0h YX 76201 No response to collection efforts, 205 6522 DA0VpISD0% 622 , DANNY RAVOpIBDO% 628 o DANNY 6/03/80 10/31/80 40.29 FRIOC0 TX 76227 FR9iCD TX 76227 Unable to locate, 203 10061, DAVIS , DEIONIEL DAVIS , RONALD 2/14/00 10/31/80 10.00 RT 3 BOX 373-E RT, 3 DOgk '173 g iJ COVILLE YX 44994 tASTVIL4G TX No response to collaction efforts, 701 19197 DAVIS REBECCA DAVIS REBECCA 6/20/80 10/31/80 $4.50 q24 NEST PRAIRIE 924 W.'PRAIR19 OENTON TX 76201 DaNTON TX 76201 No robptn$O to collection OffortS. 201 16604 AXI VERONICA DAVIk1 VERONICA 4/04/80 10/31/00 114,10 1 1 R058TIMBERB 016 CR03STIMDEAS I LINT N TX 76201 DEN TON pp YX 76201 No rosponso to collection Efforts, ~ DAVIS 203 11762 tl DUMP' Ml RONTXD 76201 5DENTON 13 FRA1M RONALD 76201 Movod~Oba84no address, 10/3I/80 34.00 tl 204 11762 Jt3IPRAME , RONALD DAVIF BR RONALD 1/14/00 10/31/00 62,25 I G 913 RAME I S NTON TX 76201 DENTON TX 76201 Movod; left no address, 1 201 18245 85ANti CtlMMCRCE q4~i WILLIa p~NB COMMERCE 044~ WILLIE 5/:24/80 LO/3!/80 71,04 S ARDMORL~ OK 73401 ARRHURU OK 73401 No response to collection efforts. ?0l 17044 pTNLLO ' JDEYx 76201 D~TONb~LLO JOYX 76201 No respo seato collection offo0is't/80 32.80 101 16603 J~LOA89 404 BGRVANDA DELtD% ADD ALDARO 4/04/80 4/07/80 10/31/80 232,00 ; tt, .404 RA YX 76230 E A TX 76230 No response to collection efforts. 'S 201 141126 KNMONN BRIDOFYTS NM0 CARL 7/09/00 t0/31/80 47.60 1 EN SONVIBACHS DRIVE TX 76201 pEN~,D~UIBACHE YX 76701 No response to collection Offort$, 1 t ~ i 1 I" owl DATE t1/03/00 14:46: L 0 IJ M E M O R I A L `H 0 G P I T A L PACC 7 ' j BAD DEBT TRANDFCR REPORT FOR p[R1Do 10/01/00'THRU 10/3l/00 PATIENT NUP,RRR *#%*a*ran-PAT ENT_NAMEynkaaunnur u+raibrraa OUARANTORyNAMLz**uN~a~a*,~ DATE Dy116 DATE OM BALANCE PF'X NUMB R NAME, ADUR, C~T',+ DT, ZIP NAME, ADDIi, CITY, 13T, ZIP _ ADMITTED DISCI{r1N0ED NRITZ.0P OF ACCOYVNT { 101 12870 1DEVBRIFAUX + LILLIE SUZ DEVEREAUX , L,ILLIE 12/29/79 12/,21/79 l0/31/00 73.60 LNTONCRnhi pRD TX 76201 ULNTUNC1tAWlORD TX 76201 No response to Collection offorts, 103 4888 A1 00b;,D ARICL 090MA , DEVIN 5/09/80 5/09/80 10/31/80 476,30 OWORTHZINITA 41 TX 76137 FT WORTHZINITA• 'iX 7613% NO respOnS0 to Collection efforts, 201 1Gf80 L?O SON CVD~10~D8 04$' JAMTX 79067 1 018VILLHDS 045 JA TX E 7tSOG7 Moved/23/00nO address, 10/31/80 61,60 a T 201 201334 LgOCOLLLINB / PEY 4 TX 7b2ot U Jq OL.LEINB pETXR 7Ga01 ? Unabi/09/Olocat0, 30/31/60 60,00 R?W 202 16383 DEFlDON BOX 249 TWINJLATKf D 76201 0 j;n ,y DOX 249 TWIG! IJ.AgS M06fLE No 8/12/00 to Collection efforts, i/80 21$.30 1 fOf 25821 g20LDOLIVAR , CAROL gqDO~1OL DI-in NAR BILTLY JOE 3/14/60 13/20/80 10/31/00 347,10 DE NTON TX 76201 DENT N TX 76:01 Balance after intureoce; no response, 201 10272 OSYLE , CONN19 poyLE , CONNIE 0/25/80 10/31/80 71.85 1 WEST OAK 1113 1300 WEST OAK 015 UVNTON TX 76201 DENTON YX 76201 Moved; left no address, 0 4 102 18100 DRAPER , JULIE DRAP R , CHARL58 5/17/80 0/21/80 !0/31/80 367,20 i 813 SUN VA!-LEY 810 LION VALLUY BENTON TX 76201 9qDENTON TX 76201 Arrangements not kept. I)n OR 51 202 17373 ORNY9NORY ' 8H6TXY 76201 DCNTOUkY MIIT(X 76201 NO rospon9e0to collection effooe3l/L30 90, 50 l01 11130 RVAHAMOX 177 ANITA DDTU,R~A OX 177 DARRYL 2/29/80 3/01/80 10/31/80 177,87 g ANOYL TX 76226 AFRO J YX 76226 8alonco after insurance; no rospoose, 201 18423 EnRON , MICHAEL. EDISON , MICHAEL 5/29/80 10/31/00 33.50 400 ccARD2NAL qC3 400 CC RDINAI 003 D3NYQN YX 76201 DltNTO0 YX 761201 NO response t0 Collection efforts, 201 16940 E'xY ,•STACY E 2 + TOMMY 4/15/00 20/31/80 32.60 R 130X. 441-HH R OX 441-HH D JON YX 76201 OO N ND YX 76-201 NO rospodsC'to CollectioA efforts, l12 9/10/80 10/31!00 02.00 201 21700NEtlX85 MISTAKE ~6227 AQD[IOX 5 , DEDX 7622 0 i _ . _ . _..w.».. . e ...w. NWWAUVW F. rl' e err l rrsl,'~ r F1 y G i. 't2 4 J h,~• { r I DATE 11/03/80 14;46: F L 0 W M 8 M O R I A L H 0 8 P I T A L PAGE g j BAD DEBT TRANSFER REPORT FOR PERIOD 10/01/00 THRU 10/3!/00 PAT m r NUMBER a4*d*o*** PATIENT^NAME^4a*-~4*4da *4**4*a* GUARANTOR NAVE **a*a*ad DATE DATE DATE OF 1 PFX NUMBER NAME, AMR, OIYY, 0T, ZIP NAME, ADDRr CITY, 8T, ZTP ADMITTED D16CHA0ED WRITGOFF 01: ACC NCE 199 61322 @RRW N TOM k N y / r ~M+ R7 d DOX 137 OX, 87 DEHNY !2/22/70 12/28/70 !0/31/00 125.2,4 BANGER TX 76264 AN'GR TX 76266 201 16029 SPOStta883A6 2 , LYDIA balance after Insurance, no response. S g liBP pSA6EAy AUDU9TSNg 3/10/80 10/31/00 61.60 LAKE DAL.LA8 TX 78063 LAKEBCCO11ALl A9 TX 7SO65 NO rosponso to collection efforts, 101 13754 FANOMAN , JOG FA"1GMAN , JOG 5/06/00 8/14/80 10/31/00 1818.50''. R0X 161 . OCHI YX 76266 UAI40ER TX 76266 NO re5ponso to collection efforts, 201 19681 FANNINQ , AMETH FANNINO , 0 8 6/30/OO 10/31/80 a' It 23 BAALL f•1?3 BLLL, 47. 2, DE:NTON TX 76201 CENTON TX 76201 NO response to collection efforts, 103 14768 FAfiRiiS , JAN PARRTTB JAN 3/30/00 4/01/80 10/31/00 9l',+. CLGARVICW 9!7 CLEARVIEW 20. 22 j KRU^! TX 76247 KRU7•: TX 76249 041WO OftOr in5uranc0; 40 response, 101 13226 I:EAOINO , DIANE FE:AOINB MGLVIN 12/31/79 1/03/00 10/31/80 629 PARK LANE 731.70 629 PARK LANZI y DENTON TX 76201 0 NTON TX 76201 Arrangements ndt kept, 202 11016 FRA01'18 , EDWSNA FIMOTNO , CLIFFORD 8/20/00 10/31/00 54,051 309 d I4000 iU9 14000 DEN1'3N TX 76201 MiNYUN ;fX 76201 NO response to'collec;ton efforts, 101 19085 FE 44 AR0 LL•R0 qp , VERA FELLIIRS R LOYD 7/0l/80 7/04/80 10/31/80 804, 78 LVWISYILD.L TX 75067 1. wSaViID.L YX 78067 No responso to collection efforts, ~ 101 17828 F ANK , LU9 FRANI48 t ,4OX 413 pT , LGL* 8/12/00 ~3/18/OO 10/31/80 727„g 0 NTON TX UMTONOX 433 TY. Mot NOVOd; left no address, 2203 6029 yOyRAApY BRUCE OnAY BRUCE 4/23/80 10/31/80 90,75 J DENTONCRAWFORD 9115 N.CRAWFORD TX 76:201 DENTON TX 76201 Unable to locate, 202 6807 gRSDST MULBERRY, DONALB ORSOROT MVLBHRRY , DONALD 7/13/80 10/31/00 3;t, 20 1 115 I 4 's TX 76801 RNTON TX 76201 UnablO t0 1000. lot 16150 ~A Iyj MAH3000EH 710ROAOIANSOKORY NSA SHAWN 3/21/00 3/04/00 10/31/00 4600,26 k 500 W HICKORY I o U14 TON TX 76201 BUNTON 1M, 76201 Arrangements not kept, lq9 60879 rN1nU ORbAbYE , DANA RECAP RASa , JOHN 10/17/70 10/22/78 14/31/00 320,08 i LE nt18 TX 74064 YX 79084 Movodl loft no address. ; } , , ~ au.rw...~i.wrw...... m . ..._~.........,....a_..~.ua....v-....~e...~..~.~. Y.nart..~w6r I 1 1', P 's I '.2133', 1 v I; DATE 11/03/80 14:47: F• L 0 W hf E M 0 R I A L. H O 0 P 1 T A L PAGE 9 DAD DEDT TRANSFER REPORT FOR PERIOD 10/01/01? THRU 10/31/410 { PATIENT NUMOER a**aww**a PA TENT NAME ******4** a*wa**n* GUARANTOR NAME a***w*w* DATgg DIqTE DATE OF VALANCE PFX N1'1MOER NAME, ADDR, CITY, ST, ZIP NAME, ADUR, CITY, 81', YIP ADMITYED D18CtiA[I020 WRITEOPF OF ACCOUNT _ v 101 15600 NAN%?p DAN NANCE MM DAN 3/06/80 3/14/80 10/31/00 2"0. 00 1 LFWISVILLIILL CIRCLE TX 75067 t`LW11Ot.UILL C1R= TX 75067 Moved; left no oddness. 201 17000 1400E1.0 IC Nf qb ' SAMUEL E IgUqSOCLOfESCENT qb ' SAMUEL E 4/18/00 10/31/SO .249.00 CREi DENTON YX 76$01 DEN1'ON YX 76201 Arrangements not Popt, 202 $850 PACE , MIKE PACE , MIKE 5/31/00 10/31/00 66178 D>'NTONY 87, TX 76201 xi~NTMY ST' TX' 76701 Moved; left no address. COX DON A A7 oa K p. ; 301 1263$ ppRARQOYL 132 C-1 T% 7b22b p~AR1OYLEp% 132 C t KENNETH 76326 No rosronse to Co leotion efforts, l/80 162,30 101 8203 OAINHBNJO.tC.L RANO% 76201 OATQd N'U ' RETX 76240 Arrange ents not kept e/79 10/31/00 59.60 A 2 r 201 13476 P(ANBNCpLL!~, pp , DAMON PANNM L , DAMON 3/03/80 10/31/80 16.90 k LCWISVSLLV8ADE8 TX 76240 L WHO ILIA.~SADEfl TX 76240 Moved; left no'Udross 199 60314 PARIS , HELEN Anle E CECIL 9109/7@ 5/15/7S 10131/00 247.60 76266 MOUR b39-L YX 76266 140 response t0 0110WOn efforts, f 208 1459 PARKER , DALTON PApIICR , DALTON 12/23/79 10/31/00 20,30 P 0. 80X022 P tl 8Ox 022 DLNYON TX 76201 D NkON YX 76201 No response to collection efforts. f 206 1409 pPpAo EtDtOX822 ~ DALTON ppPA3KER , DALTON t/2A/SO l0/31/BO 89.80 D9NTON TX 76201 O~N'TONOX e22 YX 76201 No rosp4nso to collection efforts, 208 3837 JA5KEAtlU18E 00 GARY YX 7b201 PAgKff cures 08 OARY 0/28/00 10/31/00 32,90 ; T UNT4MMMN YX 16201 Moved; loft 60 address; 201 21113 P RpKB OARY PA5~KER GARY 9/fT/i10 f0/3l/eo 40,50 D NYO~OVISG TX 76201 82NY0NOUI8E YX 7'6201 Moved; left no address. 200 9490 FPARK ti , 09AALD PARKG , OERALD 0/29/eO 10/31/90 85,88 { I3 13O MAO 015 3 3 AOMA9 315 DENY 4 TX 76201 DRTON YX 76201 Un4h10 to loeato, r I 204 9495 D$RkDR , 09HALD PORKER , 02RALD 8/31/80 t0/3090 61,30 AUOREY YX 76201 AWEY TX 76227 Unable to locate. 1 1 S m . e........ ...~..t mfr V 1 2: S~ 4 1 DATE if/03/OG 14:47; P L 0 W M E M 0 R I A L H 0 8 P I T A L PACE SO DAD DEBT TRANSFER REPORT FOR PERIOD 10/01/00 THRU 10/31/80 ~i PATIENT NUMBgR xaxxxxxun PATIENT NAME aexxaxxxx xxxxuxxa 0vARANYYOR NAME **oxuxxa DA A1 Pfi% NUMBEtI NAME, ~ADAR,~CITY, &TTIPr-NAMGr ADOR, CITY, 8T, 2 P ADMIT ED BA~ °OUNT T• DCHA AT WRITE TEOPP OP OF AC C - 202 1526 PARKER , JAMES ~REiR JIMMY 3/08/80 RT. 1, DOX 206A pTlliKN LAKES M H P LO1' 25 t0/3f /00 44, $4 AUbrm TX 76227 pLNYON TX 76801 No response to collection efforts, , 206 1639 PARKER MARY pARI( OQ rrHOMAO 015 pp A• C. 3/30/00 DENYON y7i3 1i0MA8 015 10/31/44 192,80 ; 7X 76201 VENT 7X 7b^241 Moved; loft no address. 201 13790 ;ARi(HR JR TOMMY PARKER TOMMY RT. 2 BOX 267 AD RT, 2 BOX 267 AV 1/16/80 10/31/80 00.50 AUDREY TX 76227 AV07tt:Y -IX 76327 No response t0 collection efforts. 201 16736 ~ATOpONOEO MONTY PiAiTON r MONTY 4/00/80 l0/31/00 32':50 Ono TX 76201 0 N ONNACR 7X 76201 Mcvedt left no address, 101 17716 p}[~oATR}C~K766 WAYNE AAqTRICK WAYNE 5/09/80 5/16/40 10/31/80 323 46 YIL pOIN'f 7x 76258 ~ILOTXPO NT TX 76.",50 lldablo to locate. 202 13764 RT gpnqTTZRSpN. 74 r JEREMY 430 KIMDI.E WILDDRIAR MARY 0 5/23/80 .10/31/80 05.25 VA, ~r ALLEY VIEW TX 76272 OARLAND p TX 79043 Kovod; left no addross. 1I 1 16400 fPA~3EL"UTIHORE f • 0~ c AT RHONOA R.8N1{~0 , IRMA 3/20/80 10/31/80 24,06 €r7~ HINTON TlMORE 7X 76201 pS,N ON TX 76201 No responso to Collection efforts, ; 199 6089 PATTJdR80N WILLIAM pATTERDON WILLIAM 10/02/78 10/03/78 10/31/80 140.00 76201 OVOONOX sin 7X 76241 Arrangements not kept. lot 11422 PAT ON , 147 A LAURIE PAYTON WON" 0 K B LENDAL 11/00/79 12/.21/79 10/31/00 50,00 WONOOX YX 76201 LAK4ADAIW.9AB DR' TX 75065 Moved; loft no address, 301 p YNg 0RAN00N Ba7Pp~RNARA ORAN DALE 0/19/60 10/3t/BO 32,85 I ' IP_3 $~7 i CANARD fi NY N T% 76201 DLN7OIJ TX 76201 Moved-, left no address. 201 18067 ` NTOpGNA OHATXOTY 7b201 t109O0 NA CHT%J.OT~~x 5119/00 10/it/00 64,50 M rr22 pp(~ ~ NM / M 01 Unable to locate, a J 303 7537 O IJ IJ347 ROYAL OAVM4 X 76aOl DEN1'~N~AN9 RT 2 LOf 0071X8 7690t Movod,0~left 8tlno address, tOJ31/94 Sb,00 201 14335 PPgA' ARUE JAMES PENT ARVE JAMES 1/31/00 10/31/80 77,45 {f j CALLAS TX 79221 AALLAB TX 75211 No r6Sponse to Collection efforts, i , ""'"~'°Ni~'+4FC?k+{hS .,n';I~1~yYh`~^t+n!rp?.MV~'~t'~'~S,•r!'~~,C1Nj , E f , f Svc ~ ,'..I v.. i' . , i PATE 11/03/80 14:47; F L 0 W M C M 0 R I A L 14 0 8 P 1 T A L PACE 11 h DAD DEBT TRANSFER REPORT FOR PERIOD 10101/00 THRU 10/31/00 PATIENT NUMBER asarraa a PAT gNT NAME waaaaaaua aaaaraaa OUARANTOR NAME anaa*Maa DATg DOTE DATE 0~p 9A ANCC PPX NUMBER NAME, ADDRI C TY, 8T, ZIP NAME, ADOR, CITY, $TI ZIP ADMIT ED DISCHAROED IJR1TEOP; OF CCOUNT _ 101 1099 PENN(NSTON , KAREN I 0/01/79 3/02/79 10/31/00 246._9 JUSTIN X 3p2 TX 76247 'Arrangements not kept, 101 10901 PERCHES R009LIO PF~RCCCH 8 ROOELIO 10/24/79 10/29/79 10/01/00 190 20 DaNYONMPDELL TX 76201 DE N70~11P4ELL TX 76201 No response to collection efforts, /J 201 14208 q SE`s PRAIRIE TERR PEREZRICHLAND BY JESUS 1/07/00 10/a1/80 76.00 1) NTON TX 76201 ARMEnB UftANCH TX 75234 NO response to Collection efforts. I a 201 7921 P~W I TIM P[RRY TIM 0/08/79 10/31/80 100.00 9 0 qRIARWOOD 940 BRIARI.IOOD LEWISVILLS YX 76067 LEWISVILLE TX 75067 Arrangements not kept. 201 13990 P9 Rg , DOUOLAO P1~'rERB DOUOLAB. 1/22/80 10/31/90 33.75 " DEN7ONORDELL YX 76201 Dl PON R411LL TX 76201 NO response to Collection nffOPts. 241 16386 • PW t.LIPS , DON141E PHILLIPS I CURTIS 4/04/00 10/31/80 140.75 S 401 CORONADO 40t CUR NADO a VLNTUIR{, CA 77777 V[11TUAA CA 77777 Moved; left nb address. ' f 201 13979 PHILLIPS I DELLA PIiILLIPgg I ocasor 1/21/00 10/31/00 76.25 , 8Q MANHATTAN 2614 KIhIOEY DR, DENTON YX 76201 DALLAS 7X 75235 Moved; left no address, 01 14172 PHIPPS LY14N PHX IPPB @932 BOX 2533 4A . LYNN 1/26/00 10/31/00 83,16 DENTON TX 76201 DENTON T% 76201 MoVod; left no address. 201 12079 PITCHFORD , ALLEN 1TCHFORD , ALLEN 12/04/79 10/31/00 32.60*2 1 ; p x h ! 3 £3AMR TX 76266 BANOkR4 YX 76266 No response to collection OffOrts. 201 16107 P1TTB305 I LISA NPAYT83C6 I LISA 5/22/00 10/31/00 32.50 ,I yy9xx ss h DENTCN T% 76901 DENTON TX 76901 No rBSponso to C lleCtion efforts, , ' 201 18999 PLOCK I MARK ~0O I MARK 6/14/BO 10/31/00 170.50 ~IOLIDAY LODGE 012 ~ L oY LODGE 1112 FNT0;4 TX 76201 CENT YX 76201 unablo to looato. 901 14973 P?LLCY AbDIG POLLEY ADDIS 2/10/00 10/a1/z70 3695 r" E FRISA BOX 468 TX 75034 FRt5C0 BOX 460 TX 75034 Balance aftor insurancol no rospoW* f 201 10246 22POLLLGCInC~$T OAK r PAUL I 2/26/00 10/01/00 93 90 t D NTON YX- 76201 Moved; left no address. F , s 1 4 7 Ir, ~N ~ a{ I,~~ S t 4 '44 Jr i DATE 11/03/00 14:47: F L O W M E M 0 fi I A L H O S P I T A L PAOC 12 .71 f ~A DAD DEDT TRANSFER REPORT FOR PERIOD 10/01/80,THRU 10/3l/00 ! l1 PATIENT NUMDER MpppMitltflf BAT ENT NAM[ ppMhpYppiF »UpONMpp OUARANTpR NAME upp~pYpe DAY[ DAYS DAYS OF DALANCg PFX NUMBER NAMC,-AUDR,-C ~TYf-OTP ZIP---NAME; ADDR_rCITY:~M ZIP__`_ ADMITTED DISCHARGED WRITEOFF OF ACCOUNT 202 15246 POLQCK PAUL PCILQCK PAUL 3/03/00 10/31/00 55.73 ¢06 EiAOT OAK 2()h E VAK UENTON TX 76201 3DGNTiUCS~N TX 76201 Moved: 'left no address, 240. 10 703 19246o~LhNTONB~ PAUTX 0 SANLAk7pNI0 + PATX 0 hlovedtl4loft no address, 30/31/90 BAN 201 11701 POONDg , LVCRETIA PONDCR , IRENE 11/16/79 616 B AROWALK 616 BOARDWALK 10/31/00 34.20 DENTON TX 7.6201 DENTON TX 76201 No response to Collection efforts. 201 14631 PQQL SUSAN POOL SUSAN .S0 A DI80NENPORT RY,~ DOX NYS0 3/00J00 10/31/80 u4 14901 AD 11 DI60 ENPgRT RT,3 DaXNY9D14801 No response to collection efforts. 4 52703 24R8pVISPLAZA r PERLI6 ORyTERPLASA 0EOR0J 4/01/79 10/31/00 2'J.00 ' CLOVlS NM 08101 CLOVBIBS NM 80101 No response to collection efforts. l01 7006 prey pOX1lot v ' OLLIC Pylicn00X 101 D RANDY 75034 Arrangements nD8k p/79 10/31/80 151100 S 00 TK 73034 i , r 1 7910 PRATT f NATALIE PRAT , FLORENCE S/09/79 80/31/80 1601 80VTH WOOD 10 68,00 1 tlUTH WOOD 1NT0ON TX 76201 DtNTDN TX 76201 NO rosponto to collection efforts, 1 9921 Pp ICE , SHIRLEY PRICE r SHIRLEY 9/29/79 1717 R4DWOOD 1717 REDWOOD 10/31/80 280.23 I DENTON TX 76201 DEIJTON TX 76201 No response to collection efforts, l 201 14904 Hill T VIRGINIA PRAIOTX CURX'ILI 2/16/80 10/31 /CO QS, 00 ' f( 2 AK OHLAND 41LLAOCi 29 Or9 H10HLrND VILLAfa { l01 14727 SCKEVTL~ , BILLY 75047 LuiJ1(QTTLL BILLY 750[,7 ry2/1l/000 to 2/ 3/80 n efforts. p CC 10/31/80 x49.2 P Q B0% 10 0 jE AKE RLAS TX 75045 GLAKgnox 08 202 TX 7pp67 No response to Collection offOrtS, i J 12773 l cI1 IIfFT1VI NALI4L g ' L TX 7DOb7 L 41IJDV1 RD.'8 ~ LUTK 7,9067 Movod~ left no aldre55, 10/31/80 36, 00 l 101 13827 AAER ( b8t4fJA RARER oh d 3/17/80 20/60 10/31/00 16.50 10? SOAK PARK DR ~1a6 210 OhK BpARK DR Aa60 LEW SVILLE YYTX 78067 LCIJIOVILLt! YX 7UO67 Balance Sftoe insurance, i 201 14446 JMROff PpARK DR. 0260ALI9 Ri~[•'f; pp0DERT 3/36/00 10/31/00 16.50 E 18V1 LLB TX 75067 LEWISVVILLgARK aR,Bf260 TX 7906'1 6alanco after insurance, J , s i I I} J ; 4 , 9 i { , ONAMI DATE S 1/03/00 14:47: R L 0 W M E M 0 9 1 A L r li 0 8 P I T A'L PACE 13 DAD UCUT TRANSFER REPORT POn PERIOD IO/O1/aO,THRV 10/31/00 ~I PATIENTaNUMOER ***O*n*** PA7IfiNT NAME *a******* ******on QUARAN7E~7n NAME ******aa DATA DATE 1'r% NVMUER NAM, r ADD-, CITY, $7, ZIP NAPIC, ADD-, CITY, eT, ZII pp5rrR OF Ut,,LANCC « - ADMITTED D16L'HAROED V'Al7EOPr OF ACCOUNT SO1 17333 PRAEZ lt,~T POINT' WILLIAM 76238 PILnY POINT WILLIAM TX 76200 NO r5/op p0p 4/30/00 10/31/00 163.10 202 703$ RA1IIREZ pp Collection offorts, ; :i02 CARDINAL 02 DEDOIE R HIIRDx DURA 8/03/00 10/31/60 DCNTON TX 76701 P~N 6 94,.90 Tx Otto response to collection efforts hot check, 101 6019 910 0 99ANN STREET , JOSHUA RAMIREZ I JOE 7/07/79 1 C 10 LOAN STREET 7/08/79 10/31/00 208,80 DCN7Utl TX 76201 UEN1' N TX 76t101 NO response to e011ection efforts, ! 101 19218 RAMIREZ JR r PEDENCIO RAMIREZ r FEDENCIQ 6/20/00 6/91/80 10/31/806561.20 b07 OLASCOT WOW,. ASCOT t ONORA Tx 77777 TX 77777 NO response to Collection eff,yrts, 101 14778 RAM91Y , 7ERitIE RALrSEY 1 , ff ROUT D 336 EE I MAURICE 2/14/00 2/10/80 10/31 /60 ry8,64 HAWC V1 LL E KY 42346 HAWLOVti.lL pp336 KY 43340 Balance after insurance, 201 6800 RAY JErrR5Y RAY r UAnDLYN 7/12/79 Oqx 9bg 10/31/00 93.79 SUM WHES TX 77777 NACOODOCHES TX MOVad; left no address, 201 10408 nEAOAIJ JAM28 901 N. R. 37TH S7, 501 WN 7 , JAME1j 3/02/80 10/31/00 106.25 1- ORAMD pf1AIRIE 7X 77777 ORAND PhIR EH BY. TX 77777 Moved; Taft no address. 102 1949 nnEDPCAr1N , DPIAN DHAAgWE4L , DONALD 3/03/80 0/08/00 10/31/00 S AVDREY Tx 76227 AUURFY h 36.00 TX 762.7Bolancn after insurance, , 101 6842 IpZEYOPEARN , OHIRLEY Q8DPCARN , CLINT 7/12/79 10/31/80 291,63 PtLT POINT Tx 76208 PILOT POINT TX 76250 Arrangements not kept, ; 201 0066 4~OD$HERMAN OR ' DONNA RrCD I DONNA 8/12/79 DE0 BH 420 (HERMAN DR 10/31/80 76.25 7X 76201 DENTON TX 76201 Arrangements not kept. I 101 15039 REEDY , ROXIC RCUDY 213 PARK CT t g I RONALD 3/04/$0 3/10/60 10/31/00 141.63 ,NOER TX 76(!66 [~ANOGRPA-K CT II q Tx 762641glanco after insurance. " ' 7ONYA R ONO D 1 203 1076 RgSOptlX 657-0 VERN 2/14/80 U NOUn TX 7624& g Spg tlX 607-0 I T% 76zGbBalanc0 after insurance. 10/31/00 S9,f0 20t (7233 ErYNO~00 I MICHAEL AGyyNDLDt3 r DAVID 4/f24/n0 i RO UNISON 110$8 DE IKON 10/31/00 4D. 00 NTO,N TX 76201 DENTON T% 76203 Hot Cheek. t . ~1►.'MMW,.~N' MIM' ro1~n.luwwaw.s...nw~w.+w+rv«rwa....a.~....e.~.a..~.. ..r...rr«.. w.rrM..•.. Ww..+r.~.Wl.. r..«r.y~,r.MnN i ' i rE, e: is r DAYS 11/03/00 14:47: FLOW MEM0R I AL' H 0 S P I T A L PAOC 14 BAD DGBY TRANSFER REPORT POR PERIOD 10/01/80, THRU 10/31/80 PATIENT-NUMQ£R 222222=aa AArIEN7-NAMEraaaaaaaaa aaaaaaaa GUARANTOR NAME 22222222 7ATE DAYR DATE OF DALNC$ PFX NUMDER NAME, ApOR, CITY, STt ZIF NA112t ADDR, CITY, SY, ZIP ADMITTED DISCHARGED WRITEOfF OF ACCOUNT 207 17317 R ZA NADER R4OZppA t NADER 4/07/80 10/31/80 317.00 DENTTONOUtSE 012 TX 7620 nEIg1'ONOUI&E,N1a TX 76201 MoVed; left no address. 101 19463 150Eg HURBT BLVD h1P 39 , ENNY ICCEE HURBT BLVD N139 NNETH 6/127/80 6/29/80 10/31/e0 677,49 HUn$T - TX 7609D H1U IT TX 760SU MoVed; left no address. 101 11744 R4CHARRM NA JULIA ~ aHNR gM NA ROBERT' 11/17/79 11/21/79 10/31/00 1146.00 Df?NYON TX 76701 pLNTON TX 76201 NO response to GolldctlOn efforts, bOf 121I66 yiCHIlREEL" NA , TRACEY ~~1CHAR DSSM OA , ROBERT 12/19/79 12/23/79 10/31/80 712,10 DHNTON TX 76201 DTON TX 76201 No response to collection efforts. 201 10130 R CHARDSipN KRISTINA RICHARDgON , STEVE C 4!30/80 10/31/80 40,63 D NT SIN HICKORY 028 TX 76201 DLNTON HICKORY N28 TX 74201 No response to Collection efforts, 207 14276 RICCpHARD80N t RANDI RICHARgSSN , RANDY 1/29/80 10/31/80 59.0 0 O P 00 bt{SOA 703 MO 64076 bb E3M 53 MO 64076 NO response td;COllectl0n efforts,' t 201 20468 ' R~JCHAR06ON RICKY t 7/78/80 10/31/80 $0,04 0,14YON YX 76201 No response to collection efforts, 102 4025 RRqTUDTLS r CHARLOTTE RIOsDDChSDIXON ALAN 5/11/74 S/14/79 70/31/80 1658,98 VALLEY PEWS TX 76272 1ASN4JI-1LE TX 76240 Balance after tnsuronco, i' 1201 19687 'R(0080 , PATRICIA pNp~0XX0) SPENCER 3/08180 10/31/00 49,10 ggD TX 76201 [IeNYaN , ;OkNTUN TX 76241 No response. to collection efforts,. , 201 9068 13 6 NATURE pApIXNX.":Y LINDA 0/28/79 10/01/SO 38,50 /1 POINT TX '76268 PnLpYbt'01NT TX 76258 No response to Collection efforts, 203 2.070 ~UQAION VILLAGE ' I'.RIO i~n~;YOY[ON VILLAGE JIM 10/31/80 70, 00 ENT t N 7X 76201 09N pN TX 76201 No raap it ^ Collection efforts. l ptl U { 10/01/80 34.50 DR 7CRTLS DF.NO ` 7 rRLF. VEND 201 76194 iNTtlN ' JAM7% V6201 6~ifrTCON JA74i 76801 Moved left no address, 1 201 16396 Da%Ep t LUKE $~RDxL~~ t LUA9 3/23/80 10/31/7.0 ~3, 40 i JUST N TX 76201 51U5T1N TX 76247 001WO aftOr 1AWuranco, no response to collection efforts. i0 t r 4 4'~it4 Sir ~f yl ,,tai 4 t r t t t t r .z. 456 ( k. DATE 11103100 14:40, It L O IJ M 9 M 0 R I A L -H 0 6 P 17AL PAQB l8 BAD DEBT TRANSFER REPORT FOR PERIOD 10/01/09 THRU 10/31/00 PATIENT NUMBER ******a** PATISNT NAqMS: o*R***R** **u**-x** GUARANTOR NAME HATE. DATE DATE or' BALANCE PFX NUMBER NAMEr ADORr MY, BT, ZIP NAMEr AODR, CITY, BT, ZIP ADMITTED DIS3CHARCED IJRITCOFF OF ACCOUNT I 201 56786 pODfRTtl , MICHAEL RODER~T9 MICHAEL 4/10/00 10/31/90 16-50 20 BNTON$T OAK TX 76201 D1_NTU DIJBY OAK TX 76301 No response to collection efforts, 201 14483 RODINfigqN r ANGELA nSDINnON , RICHARD 2/04/00 10/31/00 '32,80 6p00 $ CARROLL 0fb1 2'20 PRLDER LN DppENNTONpp TX 76201 FT. I409TIA TX 76112 No response to collection efforts, 201 13625 3711MLtl~I9G p1 , ETTA ROL)qIINL~J,Ot~TBE q1 ' EU05N8 1/12/80 10/31/$0 fib 7u DENTON YX 76201 DENT01 YX 76201 Moved; left no address, 201 19827 R BINBQ~i r JOIE R03INSON r JOE 7/09/80 t0/31/80 191.80 7~ MA BLL 70&111 ~XWSLL A 11ORE OK 77777 AR O OK 77777 Moved; loft no address, 201 17592 70/BPUkNCLL r JUAN R7gqDI~URN2LL r JUAN 4/23/04 10/31/$0 22.00 t LEwISVILLB TX 77777 L7CWIVVILLH TX 77777 Hoved; loft no address. 203 12069 RO~BON BOBBIE RO4EOH , ROBBIE 1/.".0/80 10/31/00 127,60 r 25.,. WEST OAK 0246 252•F} WEST OAK 0246 uaN ON TX 76201 DENTgN TX 76201 Moved; left 46 address, 20t 16727 RODRIOUEZ r JOBS, V A bRIOURZ , JOBS V 4/0$/00 10/31/00 16,,80 i OONY011OHN80N YX 76201 U29 JOHNSON TX 76201 No response to collection efforts, 201 21947 R<DRIOUFZ , ROSCAN14 RODRICUEZ ROGEAN'N 9/12/80 10/31/80 $8,75 1 24 LSSNDEN t02DRp FMDEN rf DENTON TX 76201 DCNTON TX 762Of Moved; loft no address, (z 101 13220 RODRIGU>:Z LETtCIA RODR)Gpua , FIDENCIO 12/31/79 1/03/80 10/31100 1%8,05 { >,?'J;+ L OR YX 76201 DONTOt I1R TX 76201 NO response to collection Efforts. I 201 17029 Rp1' olI(I UfZ , ROXANNE RODE IOW" , ROXANNE 8/12/90 10131/90 42;10 DmNTONB~X 37 YX 76201 DCNT614 37 TX 76201 Movod; left no address, 205 15650 1814.IOUATTIMORIi r JRRWX 76201 6JO1OVAYTIMOSS r JERRY 76a0i No raoponOSe to collection efforts!/90 104.78 lot 14109 SOOADROWN TR 4i134r M 1003A ROIJN YR 0134 , M 1/26/00 1/29/80 10/31/00 24,30 HURST TX 76053 HURB? TX 76083 Moved; left no address, 20I 141513 ilOQAB , M R00A3 , M 4/10/00 10/31/00 46.00 9901 NROWN 7R 0194 902 WUN YR 0134 ' HU~1$T YX 760*3 HURDT TX 76083 Moved, left no address, f Op. 1 i 3 I , rflplN~ .....,.:.,...ti.............,.,....~ a.~r~te...r.4,.r.F..~,a+ - - ~_~.:,~:~...A.......,._.».........+.»... , s ,r S i L 4 ' R 1 AL HOOP I T A L PAGE 16 DATE 11/03/00 14;40, F L O W M E M 0 DAD DEBT TRANSFER REPORT FOR PERIOD 10/01/80 THRU 10/31/80 t PATIENT NUMQER •raaarwra PATIENT NAME awataneaa *axa~aaa GUARANTOR NAME aawagaa• DATI DATE S~ATE 0 IALAMCC»E PFX NU 05R NAME, ADDR, CITYi SY, ZIP NAME, ADDR, CITY, ST, ZIP ADMITCO DIQCHAROED WR1'80F OF ACC LINT . ^Yy----- 204 17509 F08 -..-»107.EO /pCRF, ALEXANDER , BARBARA 9 OOGRB 00 ALEXANDER BARBARA 5/16/80 10/31/00 UHNTON TX 76201 DENTON TX 76201 Moved,,left no address. 201 10267 ROOERR , LINDA ROOERF , LINDA 2/17/80 10/31/80 32.50 1106 DINDURO 11,0 DINDURO DENT014 YX 76201 15LN 0!1 YX 76201 No response to collection efforts. 201 13622 OQEAB , R501NA nOQEnO . DAVID 1/00/80 i0/31/00 45.25 RT t BOX 75 AA RT t SOX 75 AA AUDREY TX 76327 AVD11n' TX 76227 NO response to collection efforts. 201 16880 (~OLLF.R RH014DA ROLLER RHONDA 4/13/80 10/31/80 63.00 3:)B 9TONCOATt! NORTH 330 81'ONEOATC NORTH No response to collection Worts, ~i LEWISVILLE YX 75067 I,C'•J10VILLE TX 75067 lot 17105 §ODE EARLCNE ROSE CARLENE • 4/21/80 4/30/60 10/31/00 20.00 to FRAME t FRAMC DLNTON YX 76201 9110 04 0A TX 76201 Balance after insurance, 203 0274 ROSE , MAHVIN ~li4E MARVIN 1/21180 10/31!80 40,00 610 FRAME' 0 FRAME DENTON TX 76201 DENTON TX 76 NO response collection efforts, -01 201 14049 8059 EMMETT ROSS EMMCTT 2/15/80 10/31/00 90.isi Q0% 03 BOX 03 i PILOT POINT TX 76259 PILOT POINT YX 76250 No reSponSO to Collection efforts. I 201 13392 ROTaNDERA AMDEE2 ROYFNflERRY CHESTCR 1/04/80 10/31/80 63.55; 17tU FAMN CREEK 090 171 JAMES CRSCK 090 DENTON TX 76201 DENTON YX 76UOI No YOSAtnsa to collection offOrLS• 4 :100 3682 ROWAN JANN113 npWAN KGNNSTH 6/07/80 f0/3I/80 79.29': RT q SHERWOOD PARk 090 ~IY.4 OHERWOOD PARK 4190 No response to Collection Cfforts• r DENTON YX 76201 ENTON IX 76201 101 12365 nOWSON LILLIAN Ra'HOIry , R C 12/04/79 13/06/79 10/31/80 25.00 EAXXESDALLAO YX 741060 Balance after "10dieore OAK 9 AK(: DALLAS TX 78065 R L ' 201 15839 AUgFCi73 MICHAEL Rupp//"pp , MICHAEL 3/13/80 10/31/80 25.00 j AI1Q1iL1Y TX 76227 klufUREY 7X 76227 No response to Collection Offorts• 301 9620 nUHLAN ROBERT n HLAND , ROBERT 9/22/79 10/31/80 11.00 00 H18H SCHOOL LANLr 1I0H SCHOOL LANE 7X 75000 Moved; loft no address, i RV11r'0 TX 78060 ~7 i Vt~O a 1 10730 ftUNYONS CANUf:S RUNYONS , CANDLE 0/10/00 10/31100 49,75 } N (ON COLLIER 08 Y% 76:01 1`116 COLIIGn 00 DSNTON YX 76301 Moved; loft no oddross. )Jp 3 x f f t; k B 4, i DATIi 11/03/00 14:40' FL OW MEMOA I AL H 0 6 P I T A L PACE 17 d BAD DEBT TRANSFER REPORT FOR PCRIOD 10/01/tip THRU 10/3l/80 1 ~I PATJ_ENT NUMDER aaaaraaa♦ PATItNT NAME kkaauzzna aµakattau GUARANT07 NAME attnaaaaa DATE DATE DAqG OF BALANCE i PF. NUML'Eit NAME, ADDA, CITY, 9T, ZIP NWIE, ADD;I, CITY, t$T, ZIP ADMITTED DISCHARCED WIitTEOFir OF ACCOUNT S 202 3491 URSGLI~ r bIANA RUSSELL LARRY 2/13/(10 10/"31/00 49,00 DENTON YCAMOiE TX 76201 DENTONSYCAMORE TX 76201 NO response to C011eCtiOn Offorts, 199 61032 RUSSELL , OLENDA RUSSELL BRYAN 11/06/78 11/11/78 10/31100 300.00 76237 NVENSTERO% 203 YX 76252 Arrangements not kept, 201 14220 RISRELS JCANETTE R~RryELL , JEANETYG 1/2A/BO La/31/80 L26,3S ~AL0'LA .0 ELICIDAD 013 3d t L20 FELICIDAD N136 Movedl left no address. E TX 75240 DALLAS YX 75240 r 102 1645 BOfLEDOE gIROSEMARY 2OfL500F dHORGB At2 THOMAS 3/14/00 3/16/00 10/31/60 54. OS SHADY EH RBHQRE9 ES TX 75063 SHADY SHORED TX 751.18 Moved; left no address, 301 12919 Ry7ZVON ANTHONY RUTTMgqN r ANTHONY 12/21/79 10/31/80 13•80 1420 41, 6TH F,7, 42 iI, 67H ST, tRVINO TX 75060 111VIN0 YX 73060 Moved; left no address, 201 14414 SAkAfRAME r DETTY SALA; a BETTY 2/03/00 10/31/60 136.25 316 FRAME DENTON TX 76201 DENTON TX 76201 ArrangementS"not kept, 201 8525 pALAB r LOUISE SALA$ RAYMOND 0/24/79 6/27/79 10/31/80 907,10 (`514 CARAOLL 1014 CARROLL H NTON TX 76901 DENT014 TX 76201 Arrangements not kept, 201 9039 S LAIAR , RANDALL SALAZAR , RANDALL 9/06/79 30/31/DO 9$, SO 1 2710 W, WALNUY ,1710 W 14AL14UT r OAKLAND TX 73042 OARLANb TX 75042 No response t0 Collection efforts, 101 10692 RfiLEE , BETTY SALLEE LUTHER 11/19/79 11/22/79 10/31/60 365,33 1 JAMES pg $ENTON TX 76201 UENTONAMEd TX 76241 6alonde aftoe fmi-once, j 141 8372 BALL t? JAMES SId Lttl3 r 36 JAMV0 1/17/00 1/27/60 !0/31/913 i" ! 8 OAN 024 EOAN 3151, 30 1 ENT N TX 76201 O NTON TX 76201 Movodl left no address, t 201 6660 AMPLES VALtNDA DANPLIE , VALINDA 6/20/79 10/31/00 22.DS riBOX ?VOID TWU BOX ?Z10 TWU STATION DSNTON TX 76201 INTON TX 76204 Moved; left no address, 10f 39993 DANCHITZ NELLI9 SANCHEZ , CLCMENT 7/14/00 7/16/00 10/31/00 60M1.55 OWiRAI. DELIVERY GENERAL DELIVERY LIT'T4L 84N TX 75060 LSTTLL ELM TX 75060 NO eOaPOnse t0 0011ectlon efforts, + I 201 19966 t8ANDEyYCAMORE r CYNTHIA SANDERS , CYNTHIA 7/13/00 10/31/60 36,35 DENTON YX 76:01 D001 ENTO~YICAMORg TX 76201 Moved; loft no address. f f i 3 I ! a iv f tlzr~tJt~ ,I I. )rnn fl Itt~1 1 "Owl DATE l1/03/80 14 40: F L U W M E M 4 R C A L H O S P I T A L RACE 1g ~ BAD DEBT TRANSFER REPORT FOR PERIOD 10/01/80 THRU 10/3t/g0 PATIENT-NUMBER aaarauaa♦ PATIENT NAME aaaaanaaa 02202212 PFX NUMBell NA7IE, ADOR, CITY, 8T, ZIP NAML, ADDR, CIYY, 8T, YIP ` - GUARANTOR NAME aaaaaaaa DATE DAVE pp BALANCE " - ADMIYTLO DiLICHARCED ~~?.TEOF~ OF ACCCUNI 801 53647 PAPtDOVAL SANDRA L: - ` L9p FT, WORTH DR, 026 42p RIL VICTOR I DL•N76N 1429 DQECRE39Y CR /13/80 10/31/80 _ 1b,OC TX 76201 DENfON TX 76201 801 5504 9QS~ AVRIL CT. N. ' OLADYg Balance after 1»SUra»C0, FORM WORTH TX 761Jh 8$~A Oftlh CT, N. HENRY 6/04/74 10/31/80 201 13784 SARAVfq 7X 76116 NO respo»so t0 celiectlon effOhts, $0. 5( ~ 210 ST, 40 I IS ~ RUDCN EARAVIIA SAN ANTONO 2I4 ST,LOVIS RUBE N 1/16/00 TX 99979 2AL1 A7JTONIO 10/31/90 41, Of 201 13214 SAVAG%R HOWARD ppe(r! TX Moved; left no addr ss, UL 9 CRAWFORD 619ACRAWFORD HOWARD NTON TX 76201 DENTON 12/30/'79 10/31/80 203 8930 8CH14ID7 Tk 76201 Balance after Insurance. 37.0. , KBF.RLY R7 1 TWIN LAKES TR PAM OOX SCHMIDT FRANKLIN DENTON YX 76201 UUNTCNrJIN LAKCg TR PK BOX 39o 7/10/90 10/3L/E0 101 19091 9gCppCHOECNIOERO C TX 76801 NO response t0 Collection efforts. 67 9C NTONNDONDERRY <Iy5It,DIE gCo~OLN~'ND NDCRRY 059 CI7XIE 'r TX 76201 DL'IVTDN 6/16/00 b/18/80 10/31/90 ,201 15916 SCHOENjNO 76201 749,2 2485 I.000ISE~' 0b ~ JA"ES CHOLNIINQQ JAMEg Mnw8/191 no address, DEN'DEJ 8429 LQVtSL 06 TX 76201 DENTON 10/31/60 33.5c CTT ' 101 11648 9p , DEBRA TX 76201 Moved) left no address, 01 nNE VILL SC0O110x 46l r DEBRA 11/14/79 21/21/79 10/31/80 E TX 76240 OA1iAERILLE TX 76240 8alanao after Insurance. 34.76 101 10810 gg D 5 gg BRYAN s 3 kRHOWETH 0F.LOr.R BARRY D 1/17/00 UAINCSVILLL' TX 76240 24 N HOWCTH 1/Sg/EO 10/31/80 9i 9E# 20A 16455 SELF 0AfIlE£fiV1LLE Tk 76240 110 rosponso to collection efforts, 30Y RUDDGL 0176 ' STEPMANIR DENTON JO~FRUDDELL 0176 ' CRYSTAL l 201 17089 ' TX' 76201 DLNrON 4/01/90 1forts, 0 eeLl. EE 36.06 ~S9LWiTHCRB ~ MARY Otil LCCRg TX 76201 No response to collodion efforts, ; F DE'NTON TX i1 S IJITHERB r MARY 4/20/00 76201 100,OR a 201 14160 LLERg . TRAVIS GL"N1'ON TX 76201 No rn1P0»Se to C011QCtlOn efforts. ` J WITHERS 33B I.LERS a TRAVIS ,Y kNT01J TX 76201 DjNTIII HER8 1!26/80 10/31/90 1 801 13740 pp TX 76201 No response to collectlo» of'forts, .g 8t, ANN8NF STREET ' MILDRED SHANNON j TON ' YX 76201 DLNTONOr STREET MILORED J/19/tl0 10/11/10 TX 711201 No response to collection efforts, 38 7yl ! '1 t t) If 4 • DATU. 11/00/UO 14:40: fy L D W rl C! r1 0 It I A L "H't) R P S T A L PnGe 19 BAD DEBT fRANSPER REPORT FOR PERIOD 10101/80 7HRU 10/31/80 71 PATIENT NUMDCR «rrarrrrr PATIENT ~JAM1 aaarer+ua a+eararrr GUApRANTOR NAME arnaarara ADMIT= D12CF1AiE2CCD WRIT ICEjqF F OFDAACCGUNT PFX NUMBER NAME, ADDR, CITY, ST, ZIP NAME, ADDR, CITY, 8T, ZIP V,{AP[Pt: , DUZLC.LA 8/23/79 10/31/80 63,03 lOl 60x7 .SHAR 500 CARL , BYEDA RD,Nl08 I OQ CARL AD. 0105 IRVIC TX 79061 V1N0 7X 79061 S V11N0 101 16926 SHEHAN , BECKY OLDHRUrJ<ER RD , DAN N9a me to ~9b;OvP etfd95`1s/a0 46. $0 0 TCNNESSEE TX 76046 GRAHAM T% 76046 No response t0 collection efforts. • HAM 99, 00 1 35264 SHU:.TOONN 666 DARDARA RvxLTs~X 866 ' DARDARA 2/26/80 10/35/80 D041•VR T% 762:34 DECAYUR TX 76234 Hot Check. EHLLTON CHRIS 4/05/80 10/31/80 37,90 203 7313 SHELTON ' CODY BERNARD 2101 RIMY ROAD 1233 DEwrari YX 76201 DENTON TX 76201 No response to e01100t1on efforts, t , KENT 7/01/79 7/07/7-7 10/31/00 674.90 101 &449 BUN .AL AL ' KENT GCN.ft DELIVERY 7X 76237 Balance after insurance. AUOLBR DELIVERY TX 76227 AVDAV I:Y 9HEPA D , DEWAYNE 2/10/00 3%14180 10/31/80 570,40 102 9190 1016 PMCRV D , TERRY 1016 FIfERY 7X 76201 DENTON TX 76201 Balance after„insurance 1016 D'cNYt.v 10/31/80 32.50 , ANNA K' SHEWEY , ANNA K 7/17/0 203 20132 28&8 N 2FO6 ROSELAWN . 2806b ROSt LA41N YX 76201 DSNTON TX 76801 No response to collection efforts. OJ: N70 JOEL 4I14E1JTAL a JOEL 9/24/80 10/31/80 37. 0.0 201 S46D8 BIMENTAL Box *1)21 DDx 321 TX 76247 JUSTIN YX 76247 NO response to 0011ection offorts. JUSTIN 201 14533 S ld/31/80 23.00 S1P`%NTAL , JOEL 2/08/80 IME32S , LAMA an>f 321 JVDOU TIN S TX 7b247 JUSTIN TX 76247 No response to collection efforts. r JEN LEONARD 9/04/00 6/06/00 50/31/80 13.00 / lot 17350 BIkgN , LEONARD RTMO1, pptlX 37 R7.N IN313 DOk 37 OK 74038 J1.NN1N08 OK 74038 Balance after insurance. : 201 17969 9IMP ON r LANA SIMP QN , LANA 8/1'S/Q0 !d/31/80 3a, 50 1313X 21 TX 76247 UUaTIaN1 TX 76247 No recponso t0 oolleoMOn efforts. JUBT N 10131/00 88.00 201 M40 RiMPQ9N 8H4~RY4 S1r5P60N , PATRICIA 2/23100 i UqX b 32 NT STATION PQ DOX 043 TX 76030 No response to collodion efforts, IINTON Y% 76201 AZCL f ' [ EMANUEL 2/11/80 10/33/80 41,70 1201 14714 bOMS413 , EMANUEL 61.(10 JUSTIN Yk 76247 DJU8YIN3 TX 76247 No response to colloctten offorts. i + ~t f # I I f t t r I r: DATE 11/03100 14:4w: F L 0 W M E M 04R 1 A L ^ H 0 0 P I T A L PAOL' ti0 6 A DAD OUT TRANDFER RUCAT FOR PERIOD 10101/90,THRV 10/31/00 PATIENT NNUMOER anncaowrn PATIgNT NAME 1►annn*** nrannunu GUARANTOR NAME auraneo* DATA DATE DATE OF BALA\rE PFX NUMOCR NAME?, A=t, CITYr 9T, ZIP NAME? ADDR, CITY, 87, ZIP ADMITTED DISCHARGED 1'.R1TUUFF OF ACCUVNT 201 14999 SIM3 , JOHN SIMS DAVID D 2/19/00 10/31/00 35 29 $Ot KILLEEN RD. 0194 TX 76541 CE,PP11ERASNCOVE TX 76922 No response t0 collection efforts, 101 173,30 aims MARY 81 M'3 , STA14L-Y 4/23/00 O/01/80 l0/31/00 1080.60 5 1 LOOP 289 LL S01 LOOP 288 NL1 } DDrNTON TX 76201 DTINTa014 TX 76201 No response to collection efforts, j 201 14905 PILOT P0114T ' LYNN TX 7620, No 2/05/00 TX 76250 Okd POINT LYNN response to collection efOforts80 60.50 201 16370 OK[PWNR71t CABBIE SKIPW2nTH , CARRIE 3/30/00 10/31/00 35.10 DENTONRNARD YX 76201 DLNTONRNARD TX 76201 Moved; left no address, 101 15560 VLLAANN L , CORA CLAYTON L DOAA 3/05/00 3/03/00 10/31/00 204,00 NAY CITY TX 77414 lJAY CITY TX 77414 No response to collection efforts, 201 13248 RYELI4Y , PAVLA flflMEL EY , PAULA 2/26/90 10/31/80 16,00 177. DOX 222 J RT V DOX 222J AUDREY TX 76266 AVDREY fX 76266 No response to collection efforts,' i' 202 5632 90tL1SER8 . ROOBIE gMELSER v R03DI6 3/09/00 10/31/00 48,15 LOAF~E DALLAS TX 7626b LAt~e DALLAS YX 75065 No response to collection efforts, 201 14225 SM TH , ADAM gM171i ADAM 3/24/00 10/3[/60 44. YO s U3 MOCKINGBIRD 30:7 MOCKINODIRD UENTON TX 76201 DENTON TX 76201 No response to collection efforts, I lot 0241 SpMI Ty4q , BETTY p0%YT15i , BaYYY 11/146/77 11/17/79 l0/'J1/80 1554.98 PILOT POINT TX 76',254 PILOT POINT YX 76284 Arrangements not kept. k 203 10650 Hrt4I~H DAPHNE DMITH , 9ILLIE 12/15/79 i0/31/00 48, D0 DSNTONTELLA 03 TX 76201 UN21 TOnII1TELLA 03 YX 76201 NO response to collection efforts. ' 101 4086 (S`MITH FFI, DONNA 8 ]TH o4 N , DAVID A 7/11/79 7/10/79 to13080 221.7'3 OIINEr6VILLCZTT TX 76240 cn1YNCOVILL¢ETY TX 76240 No respoAso to collection efforts, 101 18351 iIIh~l~ifHLAOUNA , DOTTIE M 11O IHLAOUNA r WILLIAM L 9/27/00. 3/29/80 10/31/00 229,90 DEoNYON TX 76201 DUNYON TX 76201 Moved; loft no address, 201 18106 RY11H , ELCNA SyrTSH , ELENA 8/22/00 10/31/00 70.00 AV3REY TX 76227 AUDIaY TX 76227 No response to cOllactiOn efforts, r i „ T. 1 r i , t t 11 DATC 11/03/00 14;49; F L 0 W 11 E M 0 R 1 A L H O S P I T A L PACE 21 xv DAD D80T TRANSFSR REPORT FOR PERIOD t0/O1/QO THRU tO/31/80 PATIENT NUMBER uawanaaaw PATIENT NnMi Eauwnnup om"Hoo* GUARANTOR NAME auwawwpp DATE DATE PpATE OF BALANCE PFX NUMBER NAME, ADDR, CITY, ST, 2p+YP NAMC, ADDR, CITY«ST, ZIp,«_ _ ADMITTED DISCHARO$O WRITEOPF OF--ACCOUNT 202 17637 SMITH OINA S7ITHDOLIVAR OINA 5/09/00 10/31/80 82.00 2702 DOLIVAR No response to collection efforts. DENTON TX 76201 WITON 7% 7b20i !i' 1 8620 SMpYH , HCLEN SMOTDOx 2441 ' LEONARD 9/01/80 10/31180 237.50 1 1 P BOX 2441 DEWTON TX 76201 DENTON TX 76201 No response to collection efforts, r LEONARD 2/21/80 10/31/80 98.60 206 9620 N B YC O HELEN PD OX 2441 NTCN x4A1 TX 76201' DCNTON TX 76201 No response to collection of forts, 201 10996 SMITH JA14ES SMITH + JAMES 10/24/7(7 10/31/80 38,00 403 DRIAN 403 BRIAN DENTON TX 76201 DSNTON YX 700 1 Moved; left no eddress, ! 101 16218 SMITH JENNIFER pHITH JOHN 3/24/60 3/27/80 10/31/130 864,00 2324 W.OAK 0142 2924 W,OAK #142 Ir DENTON TX 76201 DENTON TX 76201 Moved; left no address, 201 16846 SMITH . LIWDA SMITH , N 4/12/90 10/31/£0 16,00 Box DOx 33 DENT93 N' TX 76201 Dr.11TON TX 76201 Balance after insurance, 103 6826 ot`TTYEIN HAYNGB L• TX OREN 76201 D 8141 To ENTOr1 L N rx 7620.1 1/10/80 1/16/80 10/31/80 :37,00 0p16 AYNE9 DA NO response to collectiion efforts, t 101 11379 SMITH 8HOa , OSCAR 11/07/79 ti/10/79 10/31/80 500100 AT 5 YWIN LAKES #3 1 A VNUI; A Da"1JY0N TX 76201 UL YON TX, 76201 ArrangeWts not k0t, i Y 201 18294 SMITSHy,HfOY SHORES kDPHOSOE BObM~TSHHADY BHORRD RD PHOEBE 5/25/60 10/31/90 63.00 912 i 1) NY UN TX 76201 UNTO, TX 76801 No responso to collection efforts. 201 14261 8 ITH , 11EDCOCA SMITH , TOMMY 4/13/80 10/oi/80 68.23 s AT 4 BOX 17'3 ' O NYONO% 173 TX 76201 DENTON TX 76201 No response t0 Collection efforts, 20~ 130x0 9M fH , YA1419HA DMSTH OL5N 1/10/80 10/31/80 58.00 y ffIp 5403 QUE£N3 COURT fa 5 M(~CNSg COURT i I LAKE DALLAS TX 73060 LAKE 0 LLAEI 8X 76067 No responso to collection efforts. I 201, 14052 g1jTHH i TOMMY smITH , TOMMY 1/24/00 10/`J'1/80 65.50 41 E, ILLINOIS 414 E ILLINO[0 ^16 No response to collection efforts, DALLAS TX 79216 DALLAb Tx 73. ` 201 13909 8M T11 , VIVIAN RMITH , VIVIAN 1/23/130, 10/31/80. 48,00 a b4 1.4 OUCENS COURT 940:+ OUSENn COURT i' LAKE DALLAS T% 75067 LAKE DALUAD YX 75063 No reSpOnso to collection efforts, 4 i , Gi t , w 1 ' FLOW MEMtlR I AL HtlaP I TAL PROS' 22 DATE 11/03/80 14:49: DAD DEDT TRANSFER REPORT FOR PERIOD IO/OS/Sp THRU 10/31/80 PATIENT NUMUER saaaaaaaa PATIENT NAME aa~aaaa'ua aauakaaa OVARAN7CR NAME *aaaaaaa DATE DATE! DATE OF 3ALANCE PFX NUMBER NAMG ADDR, CIYY, ST_~ZIP MNAME, ADDR_rclTY, or,YxIPr _-r_--- AGMIr'fED DIDCHARCED 61R11'ECFF ?F Pot 11150 SMITH rCCCUN7 ` YOLANDA L CNITH YOLANDA L 3/04/80 10/31/80 49,50 Ep DO% 83682 TWU 8T. P iiruN 23602 TWU 7, BE TON TX 76204 GttT fCN TY. 76204 Moved; left no address, ANGELA SMITTY ANGELA 7/10/80 10131/80 43.30 201 19099 SMjTTY c/~3 CR1SI8 CTR 1Sbtl N, LOC C/O CRISIS GTR, 1509 NYOCU071201 Movodt left no address. DENTON Tx 7bLLOl LcNTOiV JOHN SOL18 HOMER 9/02/80 10/31/80 '64,50 RO! 21619 SOUS 10c8 HICH SCHOOL DR. i2a LEf:W I SVI HIGH L LE SCHOOL DR, T% 79067 LEWISVILLE TX 765201 Moved; left no address, 101 627$ 8 ROVSH ALI POROTET.SH OHCLAM 6/20/79 6/30/79 10/31/30 265.00 201 STELLA 114 8201 JTELLA 04 DLNTON TX 7620! DENTON TX 76201 Arrangements not kept, 101 ' 7277 69UTt BOX HVRRLAi90 OLENDA ¢CUTHDD%A1D5 , JOHN 12/04/79 t0/31/00 53.80; W7HITESOORO TX 76273 WHIT65DORD T% 76273 No response t0 Collection efforts. SOS 21178 SOWEI.L , MARK SOWELL MARK g/19/80 10/31/80 49 25 i 306 TEASLEY LANE 06 3od ~EASLEY LANE 9tB 7X 761105 Moved; left' no•address, DEITON UENTCN TX 7b20i eta DOWLER , DEBRA 3/10/q0 10/31/80 28,00 201 !5747 SPAIN JAMi1E RT. i BOX 249 RT. L BOX 244 TX 76266 EAtiCEEFt TX 76266 No response to Collection efforts, SANOER 5201 50701 1P1cHT2 OEOFF TIPECHT' OEOrF 3/09/80 10/31/80 $9.50 2 N ``810GNTO~JJ LOCUST 112 ENTDt,' LOCUST M2 TX 76201 P TX 76201 No response to coilodtion efforts, 101 15349 7I9ADRSFTWOOq MISTY SPi5AnARY DENNY 2/28/10 '3/02/80 10/31/00 30.00 71 DRIFTWOOD DENION 7X 765201 DENYON TX 76201 No responsa to collection efforts, j '~GN fiPRADORRY , CLARENCV a 2/26/80 10/31/80 68.50i 2,01 15267 1SPqRA7qDF.RRY LISA f 70N, MCKINNaY 1417 r. MCKXNNIIY Y% 76201 DENTON TX 76201 14ovo4; loft no address. 90R 52276 6PRAOUN fs40BOX t2 SH8AWOOOE hH TH 76 01 O nIYONaX 12 6HERWObDKNYXETH76201 No gespens5e to Col loction efforts i'/80 74.7a E 7 E tI1I} ; COQ 6073 Ze'RAYI ON 220 SHIRLEY SPR4 OXR2a , HOMGR 2/25/00 10/31/00 31.80 l D NVfON YX 76201 OINTO14 TX 76201 No responsa to ColleCtion efforts. 204 6073 SPRAYCERRY , OH MSY gPRAYREARY , HOML"R 6/tl9/SO l0/3!/80 46,EQ kT 8ONCHERWOOO MHP YX 76201 k OHT 4NTO,V 401 2a^ TX 76201 ENT No response to collection efforts. y.' DATE 11/03100 14!49: P L 0 II M L' N U R I A L FI p e P I T A L PAGE 23 ~ i A. DAD D98T TRANOFCR REPORT FOR PERIOD f0/01/80 THRU 10/31/80 ~i PATIENT NU113ER aan#+s##a PA~• tE T Nrfy9 na##a###a ###flit### 0VARANTOR NAME #n###wna DATE DATE DATE OF DALANCE PFX NUA1DEn NAME, ADDR, CIT a, ZIP NAMC, ADDR, CITY, 6T, ZIP ADMITTED DISCHARGED WRITEOI'F OF ACCOUNT r 201 15116 PRAY!)%pV r TOMMY gnaAgY8GRppY TO6't1Y 2/R2/80 10/'31/60 58.00 nNON307 ROYAL OAKS M7X 76201 DENTONJ07 ROYAL OAKS t17X 76201 Moved; left no address, 1I 3 201 19741 SPRING , THOMAS SPR6IING r THOMAS 7104/90 io/31/80 111.70 1616ON OAK 205 TX 76201 I MOW OAK 808 TX 76801 Moved; left no address. 107 1622 SPRg~LUS , &ENJAMtN pgPnpgLES r DENJAMIN 2/05/00 2/00/00 10/31180 ~l9.00 Jl15TINDDX 262 TX 76247 AsTSNDOX 262 TX 76247 Medlcaid denied, 202 9033 STANLEY , KENYA STANLEY , KATHRINE 1/26/60 10/31/80 74.50 DE14TON TX 76201 DENTON TX 76201 No response t0 Ce11eCtiOn efforts. 201 14309 S ANLEY r TOLLITA STANLEY , KATHERINE 2/02/90 10/31/80 26.27 33 S. WOOD 313 WOOD NTON TX 76201 DENA TX 7620i No Pesponso to collection efforts. 202 14389 STANLEY , TOLLITA STANLEY , KATHERINE 4/,09/00 10/01/80 42.28 DEMYON WOOD TX 76201 ST13 F3. ANLEY HOOD TX 76201 No rosponso to collection efforts. ' 201 14790 STFPANr3ki , RAYMOND 0 OTEPANOKI RAYMOND 0 2/13/90 10%01/130 04,70 300 LOOP 288, OP-12 303 LOOP 280, CP-12 DUNTON TX 76201 DENTIN TX 76201 Moved; loft no address. 201 9279 619PHENg STACY TEPIlEN3 10/02/79 10!31/80 85.80 'q n4 DO TH CALLOWAY 6629 7300TH CAIAJdki T. 11014TH TX 76118 FT. WORTH TX 76118 No response to collection efforts. t 101 16483 Tfi li~O RITA SYEVENR + CHARLES 4/07/80 4/13/80 10/31/80 1575,40 T. OX 972 RT OpX 972 r DI:NTON TX 76201 DENU11 TX 7670t No response to collection efforts. y J 901 16162 ST9VCNS SHANNON 8 EVEsN9 r MARTA 3/22/!30 10/31/60 38.50 gg16 S CARROLL il23b 516 $3 COARROLL0230 UEI4TON TX 76201 DENTON TX 76201 Moved; loft no address, S 201 17130 STCV9NSON JGNNIFLR 31'-VQNNnONN r KAUN 4/31/$0 10/31/80 61.79 1 yy715 silOHLAND 11745 HIGHLAND i, i fJGWYpN TX 76201 UENYON TX 76201 Hot chock. 201. 14089 OPUMS , - Iti STORM3 J00919 2/16/00 to/O1/80 1126 35 r AubR.E4 DOX 000 •rX 76227 AVB nll•IYaOX 200 TX 76227 No rosponso to collection of-orts, 207 11042 STOTTLCMYER , MARK STFLCMVER r MARK 1/20/00 10/01/00 10.28 214 QQ NORMAL 2184 U NORMAL f D4NTON ,TX 76201 DENTON TX 76201 No response to collection efforts, 1 k ~ y i !1 Y { f t 1 S .Eli . 1. ' DATE 11/03180 14.:49r F L O W M E M O R I A L H 0 S P I T A L PAGE 24 A DAD DEDT TRANS1CR REPORT FCR PERIOD 10/01/00 THRU 10/31/00 ~f PATIENT NUMDER +,ouauunsti PA 15W NAME nnnaf"" " **4041" GUARANTOR NAME uurunraa DATE DATE DATE OF DALAN E PFX NUMNCR NAME.. ADD11, CITY: ST, ZIP NAME: ADDR, CITY, 8T, ZIP ADMITYED DI£CHARCED WRIr8OFf• OF ACCSV14T 201 14680 STRANGE , JENNIFER SBTRA~NOE r JAMES 2/09/40 10/31/00 70.73 410'N 0001) qT 48 N Wp4D i3T DENTON TX 7620l DENttTON TX 76201 NO rosponsc to collection efforts, 202 14600 s1S~PI0 O0D OT , JENNIFER 418AN05OO1) $T ' JAMV3 6/03/80 10/31/00 90.25 8 :NYON TX 76201 DLN7oN pp TX 76205 NO response to C01100ti0n efforts. l41 12327 STAILOVCND r LOU1£E 610ILOVE~L , LOUISE 12/03/79 12/13/79 10/31/00 101,20 D NTON TX 76701 DENTON Tx 762oi No response to collection efforts. 199 60070 8TRICKLIN r EDITH gralgK IN EDITH 9/26/77 6/10/77 50/31/80 511,85 76201 DEOO TONMM YX 76201 No response to collection efforts, Sbf 15678 O NCRrTMADELIVERY ' JAMB OEPF,HCLAD~LIpp VERY JAMES 4/12/80 4/16/£0 10/31/80 953.70 MARSHALL IL 62441 MARSHALL IL 62445 No response'to collection efforts, 101 13383 ST3tD1ILEY r JUDY STRODUDLEY , JUDY 1/04/80 1/07/80 10/31/00 250,60 80 1 SON RI OAINzSVILLti TX 76240 OAINESVILLC TX 76340 Arrangements not ka'dt, 202 9107 STURMF RICHARD STURM , RICHARD 3/OU/90 to/61/80 66.79 DUNOT0'+ALLMEAD4N 0222' TX 76201 DaNOO~ALLMEADOW 0222 TX 76201 NO response to collection efforts, 10! 201170 l211UVlE8T OAS[ ' "N"113 £ QRUECST OAK . DEN118 7/17/00 7/18/80 10/31/00 590 50 yy 1 DBNTON TX 76201 UCNT1ON TX 76201 Movedl left no address, 1 201 19113 SXX LINOER r TINA 8ULLINCGR CHARLES 6/17/00 1013l/80 48,25 4 WS 5g LAKE LLAS YX 7.'060 LAWtT ULLAS TX 79060 Moved; left no address. 201 15660 8UTTFqN r VERWON BUTTON , VERNON 3/07/00 10/31/no 121.60 6607 FORAN 607 KORAN QAINE I LLE U TX 76240 CAINDSVILLE TX 76240 No response to collection efforts, 11 101 5038 82,EA T RILEY gThE' H7x 76230 0WIC2ST RILCY 81TR&ETOTx 76230 NolrespOn e9to COilo tian efforts 1/t30 243,40 f .^O1 15120 r1EATMAy r 81LLI6 8b!i ATMAN DILLIB 2/23/80 10/31/00 43. 90 JO DRIFTWOOD /rye OtiIFYWOOD bENTON YX 7201 DE:NTOrd Yx 76201 No response to collection offorts, l 3 201 It293 SWRATMAN r ROY WCATMAN r ROY St/09/79 to/3l/80 79.41 1p19 WILSON 10 E SYCAMOR9 DENTON TX 76241 GNTON TX 76701 Oalance aftor Medicare. 1 E j 1 I ' . • C { r. • ~ r , y C e f . 4 L 1 DATE 11/03/80 14: 49: F L O W M E M 0 R I A L N 0 0 P I T A L PAGE 25 A' DAD D(29T TRANSFIkn REPORT FOR PERIOD 10/01/00 THRU 10/31/00 I PATIENT NUMOER u•xa000 a,ru PAT ENT NAME uuYUUak r nwuunxua GUARANTOR NAME e'auau pa DATE DATE DATE OF BALANCE PPX NVMOER NAME. /ADDR, C~)'Y, ST, ZIP NAKV, ADDA, CITY, 57, ZIP ADMITTED DISCHARGED WRITLEOFP OF ACCOUNT - 203 11293 814EATMAN , ROY K SWEATMAN , ROY K 2/27/00 10/31/80 66,50 1019 WILSON 210 E £YCAMORE DENTON TX 76201 DENTON TX 76201 Balance after Medicare, 204 11293 014EAT AN , ROY K t'WEATMAN a ROY K 2/26/80 !,1/31/80 22.00. 1019 ~jILSON E SYCAMORE DENTON TX 76201 DEPITON TX 76201 Balance after Medicare, 209 11293 SWEATMAP ROY K SWEATMAN ROY K 4/27/00 10/31/80 30,94 1019 IL ',I 21;Q E SYCAMORE DENTOM TX 76701 DL•NTON TX 76201 Balance after Medicare, 1 201 18041 SWEA%AN RUTHA SHEATMA A RUTHA 2/21/80 10/31/80 138.55 IQ19 ILSON ' 210 G S GAMORE D NTON TX 76201 DLNTON TX 76201 'Balance after Medicare, r 1 101 10330 ONINK a GARY SWIMK , GARY 4/14/00 4/21/80 10/31/00 24,00 1007 F01AMFADOkS CIRCLE 10U7 FATRMgADCW CIRCLF DUri CAtJ ILLS` TX 75116 DUNCAN 1Lt. 7X 79116 Balance after inturonto. 201 1$490 S`1LYERA , CHRIS %LVERA MARC 3/03/00 10/31/00 16.50 , 41FOX CIRCLE 7 OX CIRCLE. [ DENTON YX 76201 DENUM4 TX 76201 Moved; left no°oddress. 20f 15405 EYLVPRh" , MARC ggYLVF'RA , MARC 3/03/80 (0/31/80 41,50 47 FOX CIRCLE 47 FOX CIRCLE DLNTON TX 76201 DENTOnN TX 76201 Moved; left no address. 20t 5373 ~ LFUXACCRCLE , MARC 4lLFVFI: ACIRCLE MARC 12/16/79 10/31/80 74,28 DENTON TX 76,201 DCN7ON TX 76201 Moved; loft no address. 201 13245 '(AOOR IARRY TADOR a LARRY 2/26/00 10/31/80 44.00 y 3032 TERRY ROAD 3037 TERRY ROAD JACKCO MI 77777 JACKSON Ill 77777 MOVOC left no address. 3 f j 101 15044 TAHMASD[ . L.ORRAINE TAHMASDI , SDAHAIM 2/21/80 2/03/00 10/31/80 844,13 E` 1 1240 NN C041AN LOT 44 LEWISVILLE TX 75067 Moved; loft no address. 201 15042 TALTON BOBBY JOE TTALTON BOODY JOLT 2/91/80 10/31/80 48.90 RT. 4 OX 3138 V. 4 nOX 3130 LAKE DALLAS TX 75067 LAKE DALLAS TX 70067 Moved; 'Wt no address. > 201 177.74 TArKCCCORMICK ' HAROLD TA:%VACORIIICK HAROLD 5/10/00 10/31/00 $0. 7D 90 M DENTON TX 76201 DUNT014 TX 76701 Moved; left no addrasf, ~ 1 9244 TAYLOR A DOROTHY TAYLOR e RODERT 9/11/79 10/31/80 .73, 70 4 R D LOT 1105 RT. D LOY 55 DG~JTON YX 76201 DENTON TX 76201 No response to Collection efforts, i F • ..L... .M...«rr+YwM,' 1 A A iYYeMWYIMttri:iMYwFr'AYIY6 Y ei t r t 1112 ~1 r FLOW MEinOR C AL HOSP I TAL ~ PAOG 26 DATL' 11/03/80 lA,a9; A DAD DGD7 YnANBFGH nrronr FUn PERIOR f0/O1/UO THRU 10/31/80 , '/'~I r ADPIL7YEU DfBCHAfIOED WRCT40>:F UPMMACCOUNT I ~ ppR%EN7NUi1UERR NAMEY~AOpRQAC~~~r 3TMcZ1P~~NAMM~ ADUit.rC17Y..C57RAiipRrNAME_Gyyp~~n~ UAYE `DATE DAY6 DF QALANCE wrM •._rrr.+ _rn _w_r rr Mrrr r____~.Irti 1 hnr,/DO 1o/a1/co G4. ~o r ELTON TAYLOR d ELTON 501 22137 SSy2bRAUE48 LANE f1226 ADS;LS LAN2 TX NO response t0 CO11ett10n efforts. ' UALLrs TX I>ALLA9 , OUY %/a~/flo jo/3t/f3D 32.30 TAYLOR 201 20574 TAYLOR d~ OUY U39 nOVAL OAKS WHEEL E9 407 9q RUYAL OAK HHwCLBXE 76201 UCNYUN TX 76.01 Moved; left no address. pENYUN SHELIA 6/30/7h 7/03/79 f0/a1/SO 1768.35 i BHELIA TE9YGf11AN ~ { 102 fUA7 7E~ST~RMDAX 24 y RY 1. DOX 54 7X 7G2 '7 NO response t0 c011ect10n efforts. AUOREY 7k 762+.% AVDREY , THCMA9 . HILLY 2/22/80 10/31/80 1gq.S0 ~ 201 35106 ~•HOMAS " BILLY 1218 11COOt1ALD 1212 MCDOtiAtR TX 76201 DEtJ70N TX %6201 Jnsurdnce denied. DEti.ON 12/23/7h 1/Ol/80 10/ai/80 227.70 . NATALIE TF;CMAS d WILLARD 10i 12246 S03y~aVCK 6T 1033_DUCK 8T 7X 76240 NO response t0 Collection offorts. OA7Nt!SVILLE YY, 762x6 OAit:rwVILLE 10/31/00 28.60 ~ 7H0;4A`3 d JAMGS 12/1q/7h [ 1 L2a43 TkOMAfl ~ RANDALL 1D41 8.g7tIMMONS ~ tyal 8.8TEMMON9 7X 73067 Lt:IJI9VCLLE 7X 75067 Balance after lnBpranco. ~ LEWfSV1LLE " MAR7kA 5/SS/fl0 !0/31/fl0 35.75 'i 201 2143 T'iOMA8Y0N MAn7NA ~7 M~S7R0T 177 TWIN LAIIL•8 1tOp1LE ! AT 3" LOT 177 YWIN LAKES TX 76201 Moved; left n0 address. ~ ~ E DEfJTQii TX 7620! DlrNl'UN t0/3l/~0 f9. 00 j + 1 17Gt'0 ~HOMPflON ~ LAlllflHq GENSYIQ 'ff. `ELRJINO r CENTER 8/tlUi'fl0 :I i OA lJ OAK OEN~TICB flCfj CN uU " 7k 76201 No rosponse to collection a{forts. DENTON X 76201 bFN7tlN'A 10/31/80 24 QO MiCFiAt;L 2/2~;,,,~ d I 201 151bi 7HOMP80N ~ 87EVE T~pl}P9nGELL d ~ I 6b704 1~M1DELL 7X 7610fl ~1'. WORIH YX 76180 No I'espoASC to Collection effOrt5. 4.. a5 F7, WO}t7k n 10/31/86 201 14791 THOtfp5ON , BUTANNB YHOtI~6pN ~ SU2AtJN~' ../i.1/80 ti1J Gli.~ll7E ~ DIsD £CHMIT2 TX 76504 U4NTUtf 7X 76x04 Nu Y'n5pon50 t9 COl1QCtion efforts. q0 00 S' 1 DLWTOtJ p g 101 15140 W L . BEYTYE T~4Wt3ELLAIRL ~ OLOR06 2/24/80 3/1R/80 td/31/80 'f D 1 t f~4 ~I~t,6AIRR TX 76201 U~NTCN Tk 76201 No response to eollottlon efforts. 1880 AO g it AENT DUODY 2/2p/80 a/04/00 10/31/ClO i 101 18^«90 DACEpp BUDDY E ZfA0p!~:1 ~f0 ORE00 8T. '!10 ofiE00 OTREEY " YX 76201' Moved' loft' n0 address. UEIJ7UN 7X 76201 "'l~TON ~ 965.35 ' WA TC 8 d TIMOTHY 4/05/20 4/OB/tl0 10/31/80 u~ ~ ~ 101 ib61d WALT'gs d YTMOTHY gg ~ 1 TX 761101 Moved; left no addross. p0~7~~i 1 7k 74201 U~NYUt"1 E 0G 1 ~ ' • ' , I r` i h 1 i ) ~ , ~ -i ! I f, r 1 t. i a 7.' , 5 ' 1 u, , I psi ~ 1 y~ p , ~ i C Y i.~ ~ ' ] ~ 1... DATE 11/03/00 14:90; F L O W M C H O R I A L H 0 G P I T A L PALS 27 A PAD Da"T TRANSFER REPORT FOR PERIOD 10/01/80 THRU 10/31100 PATIENT NUMBER ~3+urasea PATIENT NAME ouu uruua •»uauu*** GUARANTOR NAME +suunru~ DATE DATE DATE •OC BALANCE PFX NUMBER NAME, ADDR, CITY, 8T, ZIP NAME, ADDR, C1TYr ST. TIP ADMITTED DISCHAR0ED WRITEOFF OF A;000NT TOTAL DAD 058T WRITE-OFF THIS PERIOD: 61336.07 j r. N r . f i r • w P w r r . ,r..r r r ~ r . (i. .r .ir • r r. .r . ~.rr wCw w • r. w' . w , w..♦ 3 f i a its Y DATE 11/03/eo 14;50r F L 0 W F1 E N O R I A L. li Cl 6 P I T A L a PACC 27 DAD DCDT TRANSFER REPORT FOR PL•RIOD 10 PATIENT RUMDER 4*****4** PAYIE14T NAME aff as .*41* /01/80 THRU 10/31/130 PFX NUPIBER NAME`"ADDR,-CITY, ST,ZIP pru --NAhll? ADDR, C1TylOVST, ARAZ10R NAFiE fYUeluwp•w - - DATE DATE DAYS OF OPDALANCE " ADMITTED D18CNAROED I;RIYEO>:F . _ ACCOUNT TOTAL DAD MOT WRITE-OFF THIS PCRIOD: 61326,07 i ~ S q 5 , S 1 i j 1 i . A 1 E i' i 1 i -oil .fit ~r . i -L 2 S PdcJd 1 BDARD OF DIRECTORS BUSINESS MINUTES flr~~ =AugusC 211_.19_- 4 ___.-==-2= Other Mr. A. E. Wyatt, Chairman, presidng. ~ The Board of Directors o19 F8aar with Memori al Hospital met in rMgule 11ys iSe1f,aand' p,m, on Thursday, August 211 Shelton, Board members present were Mr. George Hilz, Mr. Gray - Brad Moore. Also present werenar`~r ~iLeonprd Watson, Mrs, Sid Graham, Mrs. Gloria Mr, I Madewell, Dr. J. Hampton Miller, and resented and approved. 1 The minutes of the previous meeting rNewland had contacted him this week on Mr. Wyatt explained that Mrs, 1 ockadee He reminded the Board members that this Tobye Blagg behalf of her daughter Mrs. 11 ing that her daughter had not received the lady had written a letter last fall a eg controversy concerning the proper cars while a atient in the hospfttheacontinuingre should not on rrning tithe for the hospital's c arges, Because Of Procedures Tob a Btagg case, Mr. Shelton moved that an administrative adscontin be m to bill collandect that theljos Thipitals its motion ection agent be advised to discontinue P t the y was seconded and passed by voice vote. the bill, date averaging Fritz to review Mr. Mlz asked Mns' averagetcensusawas favorably naearffel-to-date monthly report, . Dru g July) the gq,g, Mrs. Fritz reviewed some factors which hav year and made comparisons of the operational profit and loss from 1977 to during the After the deposit is made to the reserve fund in August, Mrs. Fritz the present time, commented that the balance would a ofndeposit+nf d theyb and asked i sho Board wished and they agreed that it should be present interest to ingest $20,000 in a cert Den a Mr Watson agreed-to Invested for six months at a a Denton county facility. . the banks and reinvest the $20,000 at the bankeai~f toidate 1 the 5 hi89.3ghest of revenue. The rate, Mrs. Fritz pointed out that during the month of July, the cash received was locatio 100.'1 of the moot 's revenue; cash h amount o v$62t4 some discussion concerning f Bad Debt Charg the list in e- list in the t, as re of $62+q38 and the Charity Chargo»Of a few were from out of the county. the amount of $24,011 were reviewed. There roveds including the charge-off lists; hfinancialsrenorthbe avote. Mr. Hilz moved that the voice voi this motion was seconded and passed by admissions The Utilization Review Com i ttge's Report Mediwascaid, reviewed. Mr. randomly-selected nected tedPthat bns Mr. Hi 11 moved that the Utilization addm the committee continues to nevi re and to justify lengths of stay, approved; this motion was seconded and passed by Voice X cutive Committee Meeting. tie Dr. Miller reviewed the minutes from the recent Executive sated other beyreinststhave e not ~ cnmpeted noted that two of the physicians who were suspended l the havo completed their delinquent will y been they elin uent records and d will not be reinstated tunti hatlthere was some grounding pro. their d g The Director of Anesthesia, Or, Love, had menti n stated that the c ons have ms within the Operating Suite, and Mr, Watsointment, which had beenerecom~mended by ble been made. Nine applications for app i tials Co~mittee, the Executive Cmdmittee, and their respective departments already that the following appointments be approve I the Creden 4 were presented and reviewed. Mr. Hilz move by the Board of Directors. Allied Health Prp ofessionalpnConsultantTto the iPhysician— Roderick M. Clark, Sidney B. Roth, DPM, Allied health Podiatrist M b., Active Medical Staff, General Surgery James A. Conyers, Courtesy Medical Staff, Corergenv Medicine ~f inoza, M.D•+ Practice Oscar R. 1 Esp „ Active Medical Staff, General internal Medicin I Joseph Fax ani , M 4 oseeph D. MrQ ~i'courtesyvMedicalaStaffffoer+natologyorology, Clara H. Henrys , - I It ~i r BOARD OF DIRECTORS BUSkNE5S MINUTES DAIS August. 21, 1980 Benjamin Hubert, M-.0 Courtesy Medical Staff, Emergency Medicine , Nishendu Vasavada, M.D., Courtesy Medical Staff, Psychiatry ( The motion was seconded and passed by voice vote. I Mr. Watson explained a new concept which is being tested in hIew Jersey for reimbursement called "ORG." "DRG," he explained,is diagnosis related groups and would establish a reimbursement rate according to diagnosis. Some of the possible advantages and disadvantages were outlined. Regardless of the nation-wide shortage of nurses, Mr. Watson reported that currently there are only six positions open at this hospital for nurses, Additionally non-nursing positions are filled, with new employees hired only as vacancies occur, Mr. Watson reported that he has no new information concerning expected funding and d the County newspaper $23,700 articles, it appears that the from the City and tthe County. cash According City may con Mr. Watson expressed-his optimism about the results of the recent Joint Commissio ithat a two-year Hospitals Since were major recommendations made, he stated l , One recommendation made by the JCAH surveyor was to provide a committee for s planning purposes, and Mr. Watson suggested that the Joint Conference Committee i assume this responsibility. The Board members agreed with this recommendation. Mr. Watson reported that a lady who had been visiting a patient in the hospital had fallen on her-way out of the hospital. The lady had falle,, as she stepped off the curb into the parking lot and had sustained a compound fracture of the patella. She underwent surgery at this hospital to repair the knee and was, subsequently hos- pitalized. This matter has been forwarded to the hospital's liability insurance carrier for determination of liability. The EMS communications system which was approved in 1978 through the Department of Health, Education, and Welfare and the North Central Texas Council of Governments is to be in operation tomorrow. Mr'. Watson explained some of the delays during the ; Y project There was no further business, and the meeting was adjourned at 8:20 p.m. A. E, Wyatt Chairman and Acting Secretary i SEP 23 1980 gm CITY 0I- U~fQIUIi MANAGER'S OFFICE t 1 f ! I FLOW MEMORIAL HOSPITAL BALANCE SHEET AUGUST 31, 1980 1980 1979 1980 1979 Current Assets; Current Lidbilities: Cash--Operating ¢ 51,936 $ 209919 Current Notes Payable $ 116l,697 5 Interest & Sinking 7,064 61108 Accounts Payable 54,395 Reserve Fund r 540,416 414,920 22,24 44,725 Accrued Payroll 11,932 33,879 Repair Fund 9,979 51038 Payroll Taxes 84,394 98,804 Group Health Insurance 686 12l,719 Fees Payable 77 Investments ,089 92,926 212,999 165,038 Bond Interest Payable 6,882 6,569 { Total Cash & Investments Reimbursement due Medicare $ 305,188 $ 251,147 Accounts Receivable Total Current Liabilities $ j03,410 $ 753,613 Less: Allowances $ 948,825 $ 1 692,412 ?,,2,,~, 686 qF 322 Otiher Liabilities; Net patient Receivables , 9 Deferred Income $ 21,082 $ 26,188 . Other Receivables h Long Term Notes Payable 359,906 92,274 $ 52 394 $ 61,550 Bondd Payable 560 5 Inventories 273,291 217,066 ,000 ,651000 ; Prepaid Expenses .45,480 _ 21,595 Total Liabilities: $ 1,8440398 $11436,975 I Total Current Assets t 2,396,492 $ 11842,448 Capital: Property, Plant, & Equipment; City of Denton $ 393,166 $ 393,166 Land County of Denton 1,6961871 1,696,871 37 " $ 37,547 Endowment Flow Estate Building & Improvements $ 4,717,156 4,581,839 Fed, Grants, Hill-Burton 1,868,9 10 198 240,461 + FurniturE, & Equipment $ 62t8Q76,758 1 532 049 FederaT Grants 256,371 58 ,271 ~Tl-W Pledges and Gifts 369,735 307,649 Accumulated Depreciation 3~401~115. 3 113 3I2, ! , Gen Fund Bat Deg of Ye, (1,207,838) (1066,829 Current Year 3L4 764 15093 I Net Property, Plant, & Equip, 3OL,346: L3,0 8 123 Total Capital LA4~" t 9$2, i TOTAL OPERATING FUND y 5 826,838 4,880,571 TOTAL OPERATING FUND 5 826 838 4 880 571 I Current Ratio 2,65 1 E. i ~ i , .9-10.80 ; .wr.........w.w~..w.,.,..,,,,,,+we.w.....wi..wr.n•+~ r.+~ftiww~w- - _ { i S IVA" g Page 2 1 FLOW MEMORIAL 9 9SFI7AL STATISTICAL STATEMENT AUGUST 31, 1980 YEAR - TO -DATE P RIOR, CURRENT ~i O N T H Actual ud et Year-to-Date ud9 et Actual $ 2,542 31,325 27,552 27,255 Adult Patient Days 20370 82,0 93.2 8210 81.4 Average Per Day 76.5 372 4,026 3,306 3,964 Newborn Patient Days 348 1210 12.0 12,0 1018 Average Per Day 11.2 166.84 $ 269.42 $ 253.84 Gross Patient Revenue/Pt. Day $ 289.92 $ 259.42 $ $ Total Expense/Patient Day $ 302,26 $ 222,90 227.88 $ 225.A9 $ 223.25 ' Mouth _ Char_ i_ ~~y Bad Debt ~,Re o er 61 209 10,478 October $ 12 022 $ 43,952 $ 89910 November 35,,452 85,836 8,519 December 319512 53,427 12,232 January 34,642 43,401 9,120 Fp~aruarY 43,745 42;817 180906 57 296 April 48,493 4,467 ,586 7,274 may 14,357 87 43,849 4, _ June 18,569 62,438 4, 62 JulY24,011 43 043 12 802 August "ft tot 4.6 % 7.7 % 1.2 % of Revenue A; i 9-11-80 . . J1 Page 3 FLOW MEMORIAL HOSPITAL j STATEMENT OF OPERATIONS/AUGUST 31, 1980 % of Salaries Supplies Total Direct Operating 1 R_e~en_u_eevenue & Benefits-- & thr_ Ex enses. Pro i 6 40,243 18,946 19 it. L ssl Dally Hospital Care 9 b f3~w ~+914z 36 20,507 , I 10,897 19338 12,235 320191 Psychiatric Care 44,426 C/Post partum 6 10,800 14,107 940 15,047 (49247) 1 CU 2 Nursery 3 21,780 M49 19371 10,210 110560 122 8,433 (7,673) Neonatal Nursery 1 860 8,311 21261 23,251 1,240 ! Coronary Care Unit 3 26,505 14,002 5,104 19,106 7,399 Labor & Delivery 4 30,510 15,368 9,776 25,134 5,376 Operating & Recovery 4 27,514 11,002 20,748 310750 (4,236) Emergency Room 45,218 7,402 14,646 21,948 23,270 Control Supply 7 65,340 38,955 380955 26,385 Laboratory/ Blood Bank 10 47,161 14,196 34,283 42,8763 72 19,398 Radiology/Nuclear Medicine 15 103,108 8,689 60,236 6,83 Pharmacy/IV 22 619 12,028 4,720 16,746 353 Anesthesia 1 9,766 51210 4403 9,413 Cardiopulmonary 27,036 12,450 6,995 18,445 8,691 Respiratory Therapy 4 8'276 3 355 3 611 6 966 1,310 Physical Tnerapy 1 2 b9,l.~ $ 15,E + 1 100 % 8 ,9 $ 33,680} Deductions of Revenue $ 33,550 $ $ $ 63,836 63 836 Charity & Bad Dabt _ 3597;7 360787 35,787) Employee Hoalth Ins. Exp, 571 90636 (9 236 Medical Records 300 8,965 2 21344 921 11115 1, 29 33,631 Gift Shop 1,423 22,049 19,536 410885 Cafeteria BY254 14v769 450145 69,914 59,914 Plant 17171 50941 23,11'l 23,112 Housekeeping 6 662 11553 8,206 (8,205 LaurdrY 6,865 8,316 15,$81 ( iG,181 i Fiscal Affairs/Data proc. 1804$3 9,032 27,615 27+&?6 Business Office 1,649 977 2,526 2,526 J Purahdsin9 " 21992 19127 4,119 4,119 Per$onnel 5,624 2,409 80033, 81033 568 2+133 Administration 1,565 21133 Staff Education 25,129 25,129 ( 50339 General & Administrative (210) 26 998 693 25 9 8 Oepreciaiion $(8 7'~ MW 119,339," Gain (LOSs)'from Operation 19,339 Non-operating Revenue 2 049 2-9049 ? 7otaddtinn ~ $ 349,090`_ 7169358 - 46 0 1 9.11-80 i page 4 , F L M E M 0 RYIAR-TO-DATQ,SAUGUST 31, 1980 i STATEMENT Ok OPERATIONS/ Supplies Total Direct Operatng y Salaries Ex enses Profit Loss R - + 0 1 % of evenue & Benefits & Other _ 5 2 Ran 35,975 _ 201,420 2480335 1, 69 1195,227 61193 3435305 r Daily Hospital Care 5 441,756 106 120,y565 041 1,355 Psychiatric Care 6 4200346 , v50 181925 120 Npost Partum 2 121.,920 101,740 19,608 129,399 5282,421 N post 211,820 109,791 21682 77,521 ,724 245 74,839 240152 41,608 Nursery 2 130, 211 738 289414 66,557 I Neonatal Nursery 3 281,760 43,123 193 223 Coronary Care Unit z 258,780 156,100 103$41 239,190 158,005 Labor & Delivery 5 397,195 1360849 218,513 328,767 (45,215) Operating & Recovery 3 283,062 110,254 145,112 219,174 314,614 Emergency Room 6 533,688 74'062 3873879 387,879 384s270 Central supply 9 776,149 170,199 289,771 318,849 Laboratory/810 od Bank 7 608,620 119,572 334,799 427+655 716s?.07 14 191,452 114;409 Radiology/Nuclear Medicine 1,142,862 92,856 80,485 Pharmacy/IV 4 305,861 110,967 64>761 107,025 33,i05 Anesthesia 2 140,130 42,264 62,915 176,718 308,'141 113,803 075 47 238- Cardigpulmonary 6 485,459 33 048 23 027 56 9t W Respiratory therapy 1 103 to 313 IJ 34 i Physical Therapy 'ffi ' ' $ $ 7478 83,34b $ (478,334) $ 138,675 J Deductions of Revenue ((783,346 1.38,675 138,675 114 197 Charity & Bad Debt 1019985 16,421 111,409 10;514 Employee Health Ins. Exp, 30209 110716 15,863 27,425 661$2 Medical Records 17,125 224,548 231,877 456,42 571,,382 II Gift Shop 100,273 147,635 423,847 671,382231;978 Cafeteria 176,773 551206 231,978 86,542 III Plant 240577 86542 Housekeeping G1,965 859598 164,013' 6164,013 1 Laundry 7 90,870 285,680 `2(261000 { Fiscal Affairs/Data Proc, 19 4810 641 11,359 26'585 (49;.5$5 d & Colt 49, 1 e Cre $u81ne~S 6ft'ic / 26,693 22,892 102,711 purchasing 5$304 102,711 30; 80 , I Per6onhol 23,617 46,463 30,080 O. Ad~nini tPation 220,,823 220,823 202,644 Staff Education 180179 266 851 265 L 266 851 $~0 , i~24, , . 4eneral.&t Administrative " 6 4 ion Deproeia 1 I~ 223,47. Qain (Loss) from Operation 223,471 43 69 r- Non Operating Revenue 3 111 7 3 3, 0 , 70 7,13 49 $ ..364. 6 Tota, r Page 5 F LOW 14E M0 R I AL H OS P I TA L SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS AUGUST 31, 1980 Curren:„'lontn Year-to-Date _ $ 163,926 $ 31,027 Beginning Balance Cash Received From; 143 $ 6,850,A80 Aetiv2 Patient Accounts 887, $ 12,802 102,425 Bad Debt Accounts Cafeteria 8,689 104,773 Agropriations/Donations 10000 299461,626 ,626 j OthherT9 197 628 831 7 818 266 $ ,a 3 Total Cash Available Cash Disbursements; $ Payroll 407904 $ 3,247,433 474,272 Payroll Taxes 38,509 219,844 Patient Refunds 44,766 266,721 Capital Assets 1,000 159,876 Notes Payable Other ~ 242675 3,430, 37_ 7,798 983 ` Total Disbursements 742 44 $ Cash Balance 21 ~999~ 2]2,999 I Cash Investments _.263, Total Cash3 309 w'_""' Gross Patient Revenue $ 685,087 $ 8 367,519 99 69 143 943 7 r Less; Allowances 69~i $~~20' I Net Patient Revenue $ $ 47~14G6 $ 6 810,,480 Cash'Received-on Pattont$ Accounts 219 844 Cass, Patient Rofu 2~ $ ti Net`Cash on Patient Accounts V(4 - 88,1 % 89.4. ~ Cash Received as a 7, of Revenue { 9.11-80 s: ~a .......i page 6 i F GAGED ACCOUNTS RECEIVABLE SUMMARY T A L AUGUST 30, 1980 of A R 91-120 121-150 Tatar % Currant x'60-- 6--~-1 90 _"M 2899843 16.5 % Medicare ,558 $ 10,452 $ 119713 $ $ 179,909 $ 65,211 $ 22 $ 940 38,783 75,628 Q.3 % - 21,375 81871 30601 5,058 Medicaid 287 6,815 92,537 5.3 % Blue Cross 61j888 12,911 102636 957 334 .355,396, 20,2 % t! 244,337 990008 69261 4,499 Commercial Ins. 69,Q69 9 - 1A? 9Q7- 53.7 % r 336 194 __.19-1 3 77 10 Self-Pay , 89 765 107,188 192 $ 1,76(1,407 37 9_71 8$x,709 98 $ 14-• _ i - 225,423 in-house L1185 830. i ~ Total Accounts .I 5,1 % 6.1 % 11,0 % 47.9 % 21,4 % 8,5 % A/R by % Number of Accounts; 8,802 Days of Revenue; A¢cppu~tits Receivable 740,8 In;liOusa 7 Total , 9-11.80 ~ { r r; i. l - , OUuAggUOUST, 10:70 5 L6ED' 1N01gq6CT - ACCOUNTS HWIVAI)LE ACCOOpUMMNTqq 87ggATUBggppREPORT CffHARIppLY CNAROE-OttNFggLIST, DU ?ATE&NT DV& CVRR. PAT M ppAT1ENNrr NNAME OUARAN~OARA[S;RUSBA+EPHO. R%C OS6; OAT2 ' MEDj8A9 N SN;R f~AT, PAfX. NUMDCR C 7a. 00 tie; $0 pDAri$ 8T E AppAAMB STEVEN 8$ 0/12/80 J Ba CO JAS4 TX 76201 Denton County Jail. 2Q1 209460 N ALDhCO ESL 8/12/80 99.75 8331 ALpACO LMt tit~X Bfd ' ,p8 69526 pN70N 1962 YX 76201 Denton county Jail. 32; 8$ 100 32. 50. ggtt Rq HIM SLOCKER JAMES S~ 9/22/80 1 1t0~C 81026 JA2 TX 76240 NONE Ho incoanei disabled. o 7q 100.00 3167 `~y 1 B/Ob/7q" . 1160.501 1160190 RORER SNEL ARp DROK9Ft DENNIS 6673tl CL A WAt~83 SC 29802 1 SS 7/ Medicare patients used up all of her days. , .,,i LO1 t1pp JESSE OS 1/7900 163.00 11~~;00 gURROLA lo/0/1 9/79 DVRROLA NpQ~J, E YILLBR 0 ` 1 1 104315 F$ IN8 UY TX 76240 668 0747 Balance after payment from Crippled Childrens Society, mpp cC ggIM~ yy g$ 150. 00 . o0 1804. 00 , 51106 LtbjjN6SVILLE NT8YXN16240 66l3L4279 LILLIAN 8/22JB Lott incomes disabled; pp 5 COOOEL MEAN COOD51.L, 1LDR4O S8 q/``B/77gg 46030359! 640.43 1648;4gg 199 6~b996 VOALL 9/26/78 . , TX 76201 0000000000 Low incomet disabled. " qq ppjj 900.00 1893'494118 LES Y88RONA00 SH 76201 LESLEY. 8q Y% 1%00 1700.35 392 3136 Low income. q I tl pA1 UER tOQROAp~WALKEO LSLLIE 0$ 3/09/80 291319702 150,00 CC 16.00 3A.~8 08 1 4115 jj% YX 76201 03833427 BAlARC6 after MadiCAMA, p 1 66. QQ ss qq EO L lLi,& 080 6/16/60 20019904 11.50 11. I, ~'~'$DAi 4116 DE70 MYONAR wA4 TX 76201 3$03427 Balance after MAd 06o qq 192. l0 118 ELEANOR as 7/06/00 pLL TSibERpEBE ADAMS ` 01 197434 DBNYpNST~N TX 76201 3020769 Balance after Medicare. q ry~ I T q q gg 550.00 12.00 101$L8o0139 JgPOfiOX A HSNSLtiY PAY H 88 71~7%B$ NEEDS Balance 4fter Medicare. . e I , r . 1 a.r , u . ....0 1~. C DATL- 9/2q/00 7: 43: F t 0 W M 9 M D R .1 A I. H 9 8 N I T A-L PAOR p Y ACCOUNTS RCC81YABLU ACCOUNT ASTTATUggSDpRaaRpgqORT' {fig ` p g (t gg r7pp , I'JB. Z E PATtgg 8NTD0g& UE ;Kh. Dk60 ~A1ISECT 1, I PAY12PRFXAMNUMDER OVARAN070A2ADMOSA+EPHONE R%C OJ9. DTE HEUiCAID 4 CU LUWIBVILLE T% 73067 0144360600 yy ``q po 0 S YOSEB 10713 J05CEONTDQU70 RVODRtl 7651 3028386 0S 7%04%£30 4280 349 0 150'00 00 15.00 ~p18, 00 N nryN Balance after Modichre, YUAR Z ~,q 6 p 80 02 ga7g G 01 E160720 VlaAN0Rg1ti7 JUART% 76066 45tlt3040 8~~O5 . Low income0r00 578,00 8488 S O Iµ~ gg 3gq 2g+~ 2011Nhi355 OAOENTtlN CDUNTYMJT%~7b2o1 ORE00AY 8$ 8/08180 Denton County Jail, 39,20 S9;tt9 D ' • gg KK 1 r I • .IIYr~ NO , D12' 159042 EUOD~jT tiCCOp JAILINO RU09NE eq ' 0/00/00 09.50 33 , 3D; SO PEiJ70N' 7% 76201 Denton County Jail.. + gg pp~ kk q F QOIMEOl1l80 KA NT ON 76201 BP 8/17/00 49,041 A9 00 Denton County Jail. LAR O01RE179945 CEOENTDN WpRTHAORTX`b201 38322014 BQ 7/02/80 .00 15,88 L02 5111 OL pA UECCpKp g NBDN 0 6/07/80 + •e q2 2 f I 2 177113 DNTOM WOR~H DTV76OOS NONE i , ' 30.00 30.00 Balance after Medicaid. 101RY204730 2!9]H,9R5M1.TH MADRY RICHARD 88 ~%~g%UAO. 900,00 505 9D 95b,R5 i15 D NTON T% 76ROI Indiggent Carol ppatient transferred to p wichita ram sEate Hospital, 10171M313y3 CY1 ,OjSA ELM MARTIN CYNY.1lA 80%8%Og g00.00 y ~y ` D NTDN' T% 76201 f?37. 70 SP ~5 tmor obey OPC patioat transferred tel MNARTIN CYNJH A MARTIN CYNTHIA 8gg •2/00/80 another facil~ty. p~ lot ELM 8 t2'00 ~ ,00 gj.lw j St02 31153 T% 76201 d~ DN' CC ~f anot~erc~a0p~,tyatient transferred to vs?"203174 BAgYNTON COUNTY JT8L76201 tlAMUE4 80 7/23/80 40,60 ♦O;SS Denton County Jail- { . t, i. s' 1 ' 1 i b~T~' C` a/SO ' 7i 48 F L 0 W B M 0 R I A. L' H 0 S P I T A L PAQE 4 T N ~r UUpp ACCOUNNTS REC91VABLE ACCOMUNpT STATUgHDR1CEPORRY `Jg t p g gg pp U}~gg I p PAY1BPfiFXAm'JUMSIiR OUARAN08ARANDfQS~ A+RPFIONE a%C pld. BAYS MEDICAID M ~N : Q DUE OAT~t6NTDDU6 ODOR. DjkLM > ATrMECT i b p ' MCC BB BAIT MMCOEBt SAMUEL S 7/3l /80 b2. tl0 b; 80 1 20 it0O174 Ii~~R C~UNTY 71(476201 ~ Denton Ccunt,y'Jail. , 1 urr ,h 1 .k R ppg q e0 gU191312 RoffiYON CtlUNTYNJ.XL76201 S~ a/00/80 County 4~,'3D y; ~ N Denton County Jail, i M BURN R0~i R tl ffgNTON COUNT 8$ 0/12/80 32. SO 3 1 20~ 141312 DKNTON CtlUNTY J7%L76201 Denton County Jail., f03dAN82164 J0 al'AALLSTQN~RdT% 2tl43239' 82 6% 0/88 416740101 160,00 00 61,00 Sbf;O~ II YY gg Balance after Medicaid) w,, 101TEiSg 23 E00 % 0116M PAY19RSON BD1TH 08 6%8j%88 00 482, 1a 481:11 rl NT N TX 76201 387 7044 Low Incomei disabled, ani 33 ~boo 20NDBQgR19 3 J0H~} NTpN COVNT'5NJ ILCOUNT 8s 7/29/80 32. tl0 3 : tl0 ` D NTON X 76201 Denton Coupty,Jail, ' 2~OTY 40263 UUE PETTY SU811: S~ 7/17/80 02,tl0 8S ON TX 76201 0022005 Dento,~ Count,/ Jail, pI:TTY BU~~t~b:_ PETTY 4US1E 8~ 8/12100 32, b0 80 703 40261 ENTON TX 76201 3872809 Denton County Jail,. QODLLR M WA 70NNCAN O6NT0% 7b«~01 8g 7/2tl/SO 400,00' 32,80 2? S0 Denton County Ja11, ; plat JOHN 8 / / 900, 00, A4 y NN J0 N q K N g61 10t: 1,14407 A 170 A}' 2 8/i0/Htl 1 44,70 44 7 Ile D~kl8% /50bb NgNB Denton County Jaii1 u QUIRK MAn`KgALBTA OVIRK MARKALST S B/07/SO ' 173,tl0 l7 3S 1- 170910 p6N1ON BELL T% 76L101 382 6670 Indigent Care. 1g1Y" OA g R COUNTY JAIL 7/28/8D Denton County JAi1, 40,,70 ISA I ~OS E04776 ~SMTgN, TX ~ 7 li a iC _ pAOE DATE 9/24/80 x;92; P G D W M 6 M 0 R t A L H 0 S P I T A,L ACCOUNTS RECEIVADLE ACCOUNT Tp STATUS RCSPORRgT qq. U Tp t pAT~EpfTt!*%AMNUMDIiR QUARAN?8ARANj11&S9A+EpHONE A%C A%,RD TE MCp~CAl15 W ;N9"2 DU~ pAa}9NTDDUE CVRFt,DII~L&D ~p~I~ECT DENTON TX 76201 8 yy gg g 00 60 p uu pp 6 3/2/90 Balance after 24`$: J8 101p 61176 ~OlTT YDgXN30AUPR DOROTHY 9 / / 0 301 after . 3, AVD EY nX 76227 365 9176 1nsuKancet patient decea ~8. qqpp aa gg i gLL ENTgN COUNT S 7/23/00 40:8 K` RV~3 pRADSHA 40. 50 20AASigS222 O i>pNTON Tx 76201 Denton County Jail: 99 :::al ggA A8 RUj @ LL OENTON COUNT S8 '7/29/00 Denton County Jal1, 32, 50 U2: SS 2C~ 195222 2 TBRADSHAW TX 76201 . . . ♦ . qq p C TT ALFRED Dt{NT NN 9$ 7/29/80 900.01 93.00 9.88 UNT OUNT Denton County Jail- 908 0252q FREEAST MCKINN X CO76201 ctlTT CA VSN pENYOON COUNT 88 7/29/80 Denton9CounDty Jail AA. 00 SS 109 203760 iENiTgN COUNTY JT%L76201 S/OS/90 L o0 ppg 50,50 88;18 ' Cq0p 02FT9903760 1A NY N COUNTYNJAIOL1620, 9f Donlan County J611. p RX gg g a7 sbq s f p p g0 8jfLYT62' AL00X b $9909 ALTA ae OM40U 1di295QR~0 118,80 88 515.00 119%,8 , 222 LAKE DALLAS TX 75060 307-0509 1 Balance'alpter Medicare and Mediealdt tow iio - ~ gg y a g g q Qo yy y , 7%28%GU 506.26 8I~1QLLA7704 MA4T Ml EOOXEIJiL1L MATT as I l1 BY, JO 7X 76263 495 p5~4 gg gp tndbige`nt 150 .caprel IOW inCOMO IOb qq i09MAK9[04q ETgd~$ANNqDDOX SHUMAKE tfT~16LHAN 81 4482~865^~P OS 88 05.66 5739 1t049. DENTgN tX 76201 307-9440 Balance after M041d6id. q Bb1K 2031b6 JA lrN COU IS t JAMES 08 7/23/00 40, yo $S: SC NTSN NTY ~T%L76201 Denton County Jail. 1 gjr 1 jflK 200166 JA~JA UN COUNfISJTA G76.~01 JAMBS A 9/90/88 Denton County Jail, 97.20 NT Y I I JU7H 9/129/00 7: SSi F L O W M E M 0 ,2 1 A L .N 0 8 p x T A' L pAOE 6 1 p ACCOUNTS RECEIVADLE ACCOUNT SggTATM1'V~gSppREPORTpp MR :j g LT r ; PATIEPNRX. NUM91IR OVARAN70RRADURL99AAEPHONE R%E DCD.DATE MBU EA[$ M MR:j 'BUE bATYOpUG CV h,edl~k$c ~A~r EGT' F 1 20311189589 MARB2N'gEN COUN1'YOJTXL76201 MAROlE AR 7/23/80 ,T[ Dantan coVntr nail, , 40, 60 ee qqqq , T011 005740 ODURNTONCKCNN~YYMTx 76501 0OUY 82-07b8 AA 8%01%y$ 900.00 j 939.59 " 99;9 f OCC, ordered by Judge Erwin, 201 PL ~R1 ~98 ELDhNT 4 14 HCOUNTYMJA X LBLON 6L12ADET 'AR 7/23/AO O T 76001 Denton County 40. 50 Jall. VAROHMAN JAMR9g pp Htltl VgqRDEMAN JAMpS eq A/58/80 Lewisville Police Oepartmant. 6bgg tlpp 20l 21169A LltWISVILLLEWAY T% 75067 69.50 d8, 90' 1, gg ~ 201KEAA003 iH3tl7DEA9TH WALKER 7HERESEA 8j 6/08/80 190,tlO 0o0 7~y :.'1 ` JUSTIIN r TX 76247 Balance after Medicaid, 128100 1Gg 29.00 V IY ~ N ...1 i ?O 1L 806664 TON; y W WALL TCNY as 8/03/80 MGCAL49 SC 44,00 $4; t t g 3 0 ' P.1ton County Jail, 10R0 93117 98jTY ENTONDVSTA1ALtlTX 76201 NONEY 02 ;A91198 928499305 150,00 44 33gg ! 89, 30 1it~t; 98 Balance after Madicaid,• " {~Ad CP1~r8gTER WBDD CH< yim 89 0/0 JUSTIN 0/1$ 900, 01 I ifll 1209439 J7 TX 76,^47 648-2679 low income.' 7 Mi. 16 2y 9Dp; 17 ~D~eEND9 g' BA uuEDIAL NNUR8IHNOENDME OULLE At~ 6/d3/AO` $~YA ""00 ,00 a UOT Ptl1NT TX 76208 20. 20 Balance after Medicald, V0 at J141( qq pp g CUMDGRLAND 0 HOME 8g 6/28/80 pppp ' 71597 U NTOMERNARD TX 76201' 9 67,00 , 6~; 00 Cumberland Children's Home, ~ LtA~g08p AFI] awNiNwR1oNTLT%M7b201 WIIRLCY as 7/09/80 la $7; a aG w income, 47,05 g~h , r ,w.r.w,w~....n.....rv.IN.ei..., n....._.......- _ r . r" . r k I . i DA79' 8/74/80 7r 58i P IL 0 W M E H 0 R I A L H 0 8 P'I T A"L PAOE 7 ; PATIENT CLASS COUNT PAT61NT IN3~IBENCE T~U~L OUTPATIENT 1 173,00 .00 173.90 INPATIENT 20 12o 832. 00 .00 12432, 50 EMEROENCY 36 11652.95 .00 1,652.25 ! TOTAL A/R 57 14.658.75 . 00 144650.20 y t -7 DATE 9/03/80 9: 43; F L 0 W M E M 0 R 1 A L "H 0 8 P I T A L PAOF. DAD DEDT TRANSFER REPORT FOR PERIOD 8/01/80 THRU 6131/80 / PATIENT NUMOEq rrrrrwrrw PAT I~T ~11E wrrwrwwMw w+~rwrrww %ARANTpR NAME rwrwwwMr DATg IAI& DAJ p BALANC ~ ' PF% NUMnE NAME, ADDR, C ~ ZIP NAME, ADDS, CITY 8T, IIP ADMITTED OI9CAAOED WRITEOf OR Acctl~NT + __33___............ ~ 201 16704 ABBOTIIDMONpB k139r RODER 'B02OT6jDM0NDS k138 ROGER 4/07/80 8/229/80 51 25 LEW16VILLE 7X 79067 LW15VILLE Tx 75067 No response to collection efforts. lot 16081 ACUFF 6HM Y ACUFF (KATHY 3/20/80 31El/60 0/29/80 373.90 RT 22 BOX 130 %D REED Rr Box 130 YD REED LOWEsLL AR 72749 MW2 ELL AR 72749 No response to c011ection efforts. 201 19719 A$$AOMS r RONALD ASSAMS _ RUTH 3/09/80 8/29/90 98.25 DENTCNALDWIN TX 76201 DENTONALOW N TX 76201 No response to collection efforts. 201 16610 AK 111 JOHNNY gqKINS OHNNy 4/05/00 6/29/80 101,90 qT. TSIANOLC TRAILER P R7. 3 TRIAlJOLE TRAIL R pARK9 DEIJTON TX 76201 DENTON TX 76201 No response to collection efforts. 201 18:40 ALEXANDBn T14014AS ALCXANDER WI LIOM 5124/60 8/29/80 40.50 a 2x ^73c TWIN LAKkS 14HP PAT '73. TWIN LAKE MU IL C) DEN TIN TX 76201 ~N x 76201 Arrangements not kept. 103 4454 ALµµHAFAJI SUHALIA ALKHAFAJ~ ADBASS 6/23/79 6176/79 8/29/80 230.29 P [7 BOX 6611 p a Box 611 DENi'ON Tx 76203 DENTON TX 76203 Arrangements not kept, lot 13639 ALLEN MARLENR ADEN r MAnLENr, 2/01 1/00 2106/90 9/29/90 625.72 ID.AKV. DALLAS TX 76069 IB.AIY ULLAS Tx 79065 No response to collection efforts, 101 12610 AME'Jgg r FREDEREE AMESg r FOSEST 12/12/79 12/7.0/79 9/29/90 180.20 to LL TX 76201 dE ANM1LL, TX 76201 Balance after insurancel no response to Collectial 201 17970 ANDERSON r CIIJDIC AND gS , CINDI6 8f9 MITIO 6/29/80 34,50 3212 M014TCLAIRE 301 149TCLAIR D NtON Tx 76201 DISH OW TX 76201 No response to collection effortsl then moved, 102 5592 ARNtlI~A r JEWELL ApQNxxOLQ r JEWELL I401t300d"'Iq '9/79 8/79/80 372.20 HRUI4N~T Tx 76241? fIp 61113N~tl6 TX 76249 Balance after insurancat no response. fOt 10728 PAR I ON r JAMES Tx 76298 P]rOT?pTON 01NT r JATxS 76259 O10/40/79 a lance after 10/24/79 local no ire pons8. 00.40 201, 13798 t1AD011,R r 01971M0ER CLAUDIA ~A00EN018TtM0ER CLAUDIA i117/90 M29/00 37.89 ~D4 crt A r ~8 1J R Ni N ~:N T% 76701 No response to collection efforts, Tx 76701 D .Ol 12289 BAKE~jpp r PATRICIA AK6ppRXX , PATRICIA 1/07/90 9/29/00 1177.02 DALOLASx 340213 Tx 79234 IVIA,B 340213 Tx 79234 Balance after insurancei no response, I, 1 t DATE 9/03/80 843; Fl, OW MEM0R I AL H 0 8 P I T A L PAGE 2 ' BAD DEBT TRANSFER REPORT FOR PERIOD ,8/01/60 THRV 8/31/80 PATIENT NUMBER ****0*44* PATIENT NA11E **rr*r*~* 0 RANT R NAME r***r*** r { PFX NUMBER NAME, ADpR, CITY, $7, YIP NAME, ADbR, CITY 8Yr 2IH DArg dp E DDATTgg OF BALANCCgg ADMITTED OI8CHAROED 4JRITEOFF OF`rACCOUNT + - 201 17832 QqLpDRAgg I~ARY QALO.RAS JUARE2 9/fa/SO R7. QUX 106 ACOn RANC RT, BOX 106 ACOhN R 14CH $/29/90 107. 90 DENTON iX 76201 DENT N TX 76201, No response to collection efforts, 101 15748 `B`ALLARD TRACEY ItIALLAR STEVE 3/10/80 3/13/80 8/29/00 219.69 DENTONCOLLIN9 T% 76201 DENTOLLINS IENTON 919-65 TX 76201 NAJNDOLl.INB TX 76201 No response to collection efforts, 201 13813 DAN8A r D AL.BER7 BANDA , ALBERT P DENTdN ERNARD %040 BERNARD 3/11/80 $/29/80 50,25 ENT TX 76201 %400 BERNARD TX 76201 No response to Collection efforts, t 201 17101 DAPnEn SHANE DAROEfl }Q 05 SUMMERS LANE 1005 SUMMERS LANE PA11 4/20/80 8/d9/$0 23,00 UNTON TX 76201 DENT0IJ TX 76201 Movedi left no address, 201 17919 DABBY RAY y ?^s5 PJQRVIEW , 2A$EIJDRVIEW r RAY 9/03/80 8/29/00 124,00 ^OUST N YX 77022 H, US ON TX 77022 MOMI left no address, 201 16423 CATHAR r DAVID BEATwHwAAD DAVID 3/31/00 39,50 Vr DA'NI CDNCRH88 w4 T% 76201 DENTUIJCONCRESS M4 $/29/80 TX 76801 No response to collection efforts, 201 17214 g7 , PATTY BECK PATTY 4/24/00 17 ROSE 8/x29/80 152.25 s, ENTON TX 76201 DENTONBE TX 76201 No response t0 C011000On efforts, 101 18046 DEN RAO KEVIN NBEAO r HERD 2/21/q0 2/22/00 8/74/$0 961,77 231 WRSTWOOD ppB31 WESTWOOD DEN O TX 76201 DENTON TX 76201 NO response to collection effortoalance after 102 10094 nBBBnB ROgER CHARL99 ggRO R CHARLES i95Yx$7`d 1/22/80 $/29/80 167,89 O N IONANO4DAIJ TX 76201 ENT N TX 76201 NO rospOnse to Collection offort"l balance .201 19339 tL(i,1fifiN08 V , JOHN C31~~[[ IpNpQBLY pgg J011N a~~~4iyyj n IJ CH3TALkLAS TX 77777 WSC~ITA~L~ALDLB TX 77777 Movediileftanooaddress 8/24/80 196,70 203 16166 B AND , TINA 1 AND , JAMES G/29/00 U It SIERRA DRIVE Rtl 9 TWL BOX 194 0/29/80 140;25 TX 76201 p9NTON TX 76201 Novodi left no address, 201 16095 OLAYLICK THERESA AYLOCK 2"2 H pOEROEJ ~ HggppOEppDW , DENNIS 4/14/130 8/29/80 74.89 L~WIDILL E TX 79602lil~lx3VILLE TX 75602 No response to Collection efforts, 101 19696 L V R , SHERRIE ~jL,~VAR LAUREL o 3/09,ono 8/99 UMO b TX 16249 RUM Ox 6 TX 76249 No response to collection effort ,80 259, 10 v i Man DATE 9/03/80 8:43: F L O W M E M 0 R 1 A L H 0 9 P I T A L PAGE 0 DAD DEBT TRANSFER REPORT FOR PERIOD 6/01/80 THAU 8/01/80 l~1 PATItENT NNUMppER wwwrwwwww PAT E T NAYS wwwwwwwww awwwwwww 0 ARANF9R NAME wwwrrw*r pp g pgTg ppTg p Cg PFX NUMBER NAME,MADDR,_C~T ,_8T, »ZIP~_NAME, AOOR _CiTY,.97:~I1_r ADMITTED DISFAILED NPROR; OFgAANONT } 1 34069 RtlQV~DDDX lOD CORDELIA fffUSDIIN 15D MERLINS 1/23/80 8/29/90 40.00 RHOME TX 76078 RHOME TX 76078 Arrangements not kept. 201 !7031 bDb$$V pNp% CIRCLE ' J1HMY 6 UFNg CIRCLE JIMMY 4/18/00 8/29/80 $0.50 DEN ON TX 767.01 D 14TON TX 76701 No response to collection efforts. 201 10036 DOWEN , LARRY BqRWWN , LARRY 6/10/80 0/29/80 46.00 r DALLAgORE07 LANE TX 77777 DALLAS REST LANE TX 77777 Muyedl left no address. 201 17292 njYF.~ DOROTHY DOYEf , DOROTHY 4/:7/80 8/29/80 16.00 ETLL K OM 968 D NT N DtlX 960 TX 76201 KOM TX 76201 Balance after insurance; no response. 101 12135 0 ADSHO MARY TX 76201 CEN nRADSHgOX RAY 3L/20/79 12/06/7'9 8/29/00 425.25 > f RT yyNDpx 155 AT DENTO.T& II 193 TX 76201 Arrangements not kept, 5/30/00 201 35496 `W=23LO1LIVERY NEA7X 75067 LWIBViLLELIVER ' FRrXCE879067 NO response t0 collection a 80?tS~9C 32.30 V 102 3690 BREENERJJ ,'WEBLUY nR WER ~ LESLIE 10/30/79 11/07/79 0/29/90 662,11t WHpT@00AARSOR RD, TX 75693 WH IEBOA~EtRIOR AD. TX 7$690 Arrangements not kept, 200 7203 RpR'C COLETTA nRt`C COLETTA 4/14/80 6/29/00 461.65 UENTINFRAIp1E TX 76201 UNT NPRAIR3E TX 76201 No response to collection efforts. 201 19301 DnI,K; Y CATHY UUNNaK~rM01D0 K72 ' THOMAS 6/17/00 8/29/80 115.70 LIEN g 4Q D8 072 TX 77777 L W1 BY LL[ TX 77777 80 response to collection efforts, ' 103 15596 fCRON13.KBRR HALL/ BRUCE 111OWWN ApN ' OBOAL 3/09/80 3/07/60 0/29/00 427,30 OE.A TX 76pol WRIYDA nnsRR TX No response to Collection efforts. iol 13036 pRgWN/2 ALEXANOER~ CAROLYN nn7nOwNy~~2 ALEXANDER CAROLYN 3/01/00 0/29/00 467.45 ORWN TX 76701 UffNTI4 7X 76201 response to collection efforts, 261 13036 ~BROWN CAROLYN M`WN , CAROLYN 1/17/80 0/?.9/80 43.25 O NT~N2 ALEXANDER TX 76201 7UNWN~ ALEXANDER TX 76201 NO response to collection efforts, 201 16125 i OWNA , FAYREAM ~jOWH , TERRY 3/21/80 S/129/90 71.10 N4fIOX b4RC TX 76201 &N?C; 640C TX 76001 Movedi left no address, l r . DATE 9/03/80 8: 43: P L O W M E M 0 R 1 A L H 0 8 P I T A L PAGE 4 DAD DEBT TRANBPCR REPORT FOR PERIOD 8/01/80 THRV 8/.31180 PATIENT NUMQF.R rrrrrrrwr pA771Ig~yT NAME rrrwrwrwr rwr,rrwr 01JANANYOR NAME rrrrrrrr gg pqrrgg ppT p~ ccqg PFX .NUMB R NAME, App R, C[TYr S , 23P NAMEr ADDR, C1YY, U r 21 ADMI?YEp OfB HAROED SJR[ El ~ OFB dCCOUNT 801 18199 793WT}{OMPSON DRIVE LINDA r~SW7H0M BtlN URIVE~ L1NLA 9/73/80 8/29/80 17.50 LAKE DALLAS T% 75067 LAKE DALLAS TX 79067 Un@blo to locator 201 17819 ROWNN LORETTA OHIN 14 RUDpELL r LORETTA 9/11/80 8/89/80 84,79 1toNTUNRUDDELL TX 76201 OENTON TX 76201 No response to collection efforts. 201 19996 OROWWN gg SHARON OWN r CHARLES 3/09/80 8/29/80 159.90 LE141GVtLLL'' KEYS TX 70067 L WiSVILLE KEYS TX 79067 No response to collection efforts. 204 10719 RUCE BEANIE pRUCE BURNIE 6/21/00 8/29/80 199. t0 T. 2, BOX 497 AA RT BOX 497 AA ~ENTON TX 76201 DEA114 YX 76201 No response to collection efforts, 201 16409 DA~SJN ROBERT DRYOON r ROBERT 3/30/80 8/$9/80 80.50 1 AK R1DOE 160 OAKEIDOE LWI VILLE TX 79067 LGWISVILE TX 79067 No response to Collection efforts, 0 2790 AUUgpPANDUUTg JEFFREY B~RRpAApNI)tgR , W KIMBERLY 4/04/79 8/89/80 2S9 $0 ROLTONRERO N911J TX 79006 C AROL74MRERp N917 TX 75006 No response to Collection efforts. i 101 4810 DYROM , BARBARA oYRIaQM , DAVID 9/28/79 S/99/SO 1181,00 j AUbAYBO% 203-C Ty 762,7 AVf1ALY00X 203-C Tx 76227 No response to collection efforts. { 204 12958 E2pp RALPH CAgE2A RALPH 3/02/80 8/"219/80 319 69 WNW 19 TERRACE 6875 810 19 TERRACE MIAMI FL 33199 MIAMI PL 33t59 No response to collection efforts, then moved, ' 202 9398 AFFEY BHEVtiTTE CaFP Y loft Ito ddress, C$84 AVl F M13 2 4VE P Nl! SHIRLEY 4/10/0 8/29/80 17. 50 j p6NY0N TX 76201 UCNTON TX 76201 NO r@SpOnS@ to collection efforts. W nn pp tltl~j QQLL N E 101 17191 OCACLE AlWHISIlN.gPARK N~68$ANT% 76840 OAINliBV1EPARK 479 pHTxLIP76240 Unab)0/ OtllOCet 30/80 8139/80 67.48 201 14445 CCAMAcc110 MAN EL CAMACNO MANUEL 2/00/80 8/30/80 32.90 CAP CORN MOBILE WME ~ANK C/p llEp( t1I% p, O. Db% 1r'30 DENTON X 767.01 LCC•W1 E LLE x 79067 No response to collection efforts. 201 1'$606 6C6AMP bLL CHENA CC6AMPOELL r'CHENA 0/06/80 8/30/80 37,70 UFNI IVARDNALK TX 76201 UtONTCJ14 ALK TX 76201 No response to collection efforts. 101 11003 pCAMgPqU~?{L r PATRICK AMPBE L r PATRICK 11/10/79 18/13/79 8/30/00 137.50 D1irMT0 .ATHER LN, T% 76201 ~EMTON~ATkfiR Lk. r Tx 7620 No response to eolUCtton efforts, • f , j q } I DATE 9/03/80 8:43: FLOW MEMOR I'AL H 0 9 P I T A L PnoE 5 ' DAD DEBT TRANSFER REPORT FOR PERIOD 8/01/80 THRU 0/31/80 PATIENT NUMBER •rrr*0s04 PA7tgNT NAME rrrrrrrrr rrr44r4r OVARANTOR NAME errxrrrw g p 0arq Cg PFX NVMBER NAME, ADDR, CITY, 8T, ZIP NAME, ADDR. CITY. ST, ZIP _ ADMITT£p pJBCHAROED WRTT_E__OFF OFBA~CCOUNT 1 u rr-uuuwr-rrrrrrwr w r rrrrrrrr r-YYrrlw Yrr rYMY 1MYYFMr 201 17906 CAROTH Re $ TEVE AR THEnB , STEVE 5/14/00 FgI WRST HICKORY N50Y .941 W. HICKORY H507 8/30/80 $4.85 aN ON TX 76201 DEN ON TX 76201 Arrangements not kept, 201 17300 ARPENTER CLITTTT k TON CAppgNTERR 17ON 4/27/80 8/30/80 89,50 /0 M WATKIN$ 5330 BAR xR 75210 R/OLAgWATK1N$ 5330 05 gj4 AVg ALLAS 7 210 No response to collection efforts, 201 17441 0 R4f NAK ISMAEL V ARRGON ISMAEL V 4/:10/00 q 0~ W. AK 9/30/80 Al. 75 AN ANTONIO TX 78227 AN ANTONIO TX 78227 No response to C011ectlon efforto. 203 17598 ARROLL UANNIS CARROLL CHARLIE 6/13/00 ~hI~MDUx 11 P O,DOX 1l S/301$0 234.10 T% 762nq ' KhW TX 76249 NO response to collection efforts, 201 18767 CARBON STEVE CARSON STEVE 6/07/00 2Ul ND8PENDENCE 29221 N 1NDEPENDENCkL 8/30/80 65.60 UAL A CITY OK 73106 OKLA CITY hCA 73106 No response to collection efforts. 201 19667 tCd,AA;aCNR OENE CAE W 3.^ND BT N~"07 3/08/80 , U~ HA Y W. 32ND Bf, 0 7 k410 $/30/8U 6J. 00 OK 73008 HANV 14 nook? NO response to collection efforts, 201 17305 RAA7RTER SOx 55$ RODERT CARTER , ROOERT 4/2'/00 FRIS~O 8/30/86 80. 00 TX 76234 FNYB~O DOX 598 TX 76034 No response t0 Collection efforts. 201 19204 CAR {LLb MARIA CAR ,'L iSMAEL 2/2D/00 QUN~bLAYNG ~yy $ E1/30/80 35.45 TX 76201 DUN ti N6 TX 76201 No response to collection efforts. 201 17920 UTHEN MARY CAVTilc ALLEN Cpl, DOX 77D Rrr. b BOX 77b 9/03/00 $/30/SO 64, 90 TX 77777 Bp1"p TX 7777 No response t0 Collection efforts, 201 14114 CHAFFS' , CLAY CHAFFBE , CLAY hg PRY 00261 7 b F Y 00261 3/w/80 8/30/90 66,00 RATON pppp TX 76201 ~~NT0 Tx 76201 No response to collection efforts, b 101 15249 O,IbOMyPV7LLA0t EAST NlOtIB ~l`sO5pVIlrLAO, IrAer 4,80HNNY 0/02/80 3/05/80 9/30/80, 718.05 ENTON TX 76201 SENTON T% 76201 Arrangements not kept. 101 13544 CLAR~AN PA11 , JOHN 00 W MULDG~RRY F 1/09/80 1/S1/80 9/30/00 26,00 P£'N7U1J b.814 MULBERRY TX 76201 DNTON Tx 76201 Nr, response to collection efforts, 101 17002 CL5AVrNppER KEVIN ~LCC~AVCNOEA , KEVIN 4/s1 ¢ ( M 967 H08$ON ST 66 ``10BBO $T 0/80 4/24/d0 8/30/BO 509.15 LAUDER 14Y 82590 LAUpklt WY 09520 U'lable to locate. r L, I i , f 1 I DATE 9/03/80 8:44: L 0 W M 9 M 0 R I A L H O S P I T A L PAOE 6 BAD DEBT TRANSFER REPORT FOR PERIOD 6/01/00 THRV 8/31/80 PATIENT NUM £R •r++++*** PAfl NT NNApME +xy++•+++ *+N Q~JARANT~JR NAME DATg 8011 DATTE aF" BALANCE 1 PFX NUMBER NA11E, ADDR, CITY, 87, 2IP NAME, ADDR, CITY, 6T, ZIP ADMITTED OI8AOED WRITEOPF-1 OP ACC VNT 201 16193 CRlEMp BOX 216 , QLADYS RLEMpp BO% 216 K91414ETH 3/23/80 8/30/00 S1. 75 KIN09TON OK 73439' K1N06~'ON OK 73439 No response to collection efforts, 1 15980 C OUAN , MICHAEL CLOQAN PAUL 3/17/80 6/30/00 53.89 5'4 HEADL£E ¢F4 HCADLEE LANE DENTON TX 76201 u NTON TX 76201 No response to collection efforts, Edlance f p 1 p tC@, 202 2779 CODD , ROY COBQ ROY a4tf12/00 8/30/80 51.00 298p N LOCUST 2928 14 LOCUST MOVad; left no address, DENTON TX 76201 DENT014 TX 76201 103 4927 COIN , JEANNIE COIN pD JAMES 6/10/00 6/14/80 0/3080 793.55 gTNlg 30% 627 C T% 76266• SANbERO% 627 C TX 76266 No response to collection efforts. 102 16492 CQI.LASO , ROSIE CO LASO TOMAS 5/15/00 5/10/00 8/30/00 1591,25 HDL I WAINWRIGHT '2. WAINWRIOHT MOYed; left no address. NTON 7% 76201 l)ENTDN TX 76201 1 13340 COLIIFLOWC8 , OOLDA CgDIL I oiJER , OOLDA 1/10/00 8/31/00 104.30 i r.Is1J 61(~UTH Ff140 DC 064 POND N TX 76201 N ON TX 76201 balance after insurance) no respOnSQ. UCN 201 19011 CCOLgSgT pNpgg DOUOLAS 01110 T , DOUCLAS 6/16/00 8/31/00 58.50 I CHICKA8HA4 OK 0 CHICKA HA OK Moyedi left no address, 101 6210 CpMBB RENNEE NWTOh1 , NOVELLA 9/00/79 1/10/79 0/01/80 92.55 1206 WILSON I O6 WILSON D£NTOh! 7% 76201 DENTON T% 76201 No response to collection efforts, j 201 16651 CCHA EU05NIA CONCHA , SERO10 4/06/00 8/31/80 $9,00 25104 TWU STATION q9^2 TERAACE DRIVE X 76204 y?ADROOK TX 77506 NO response to collection efforts, NTON TS s 101 16018 ONN pp , TERESA DpNNN p , RONN£Y 4/11/80 4/l4/90 S/as/So 1105.70 AROYLE% 16 E TX AROYL~X 16E TX 76226 No response t0 collection efforts, 1 16403 COOK , JUANNA CO A JOANNA 3/30/00 0/31/80 60.00 40ss S COWAN qq jj qqDWAN DECATVH T% 76234 UP A~VR TX 76234 NO response t0 Collection efforts, 101 15639 1C10%D6EICL~ , SHERRY CCnRDE6LLB , DILLY 3/07/00 3/11/00 8/31/80 135.54 PILOT P01NT TX 76258 PiLOTBPOINT TX 76258 831anco after inSurancet no response, 101 4903 CQREYrr , PAMELA EUI~£Y744 PAMELA 5/26/79 5/20179 8/31/80 548.4$ 1 L W15VILLB TX 75067 L0W1 0ILLE T% 75067 Arrangements not kept, u } ~ i 1 r i i I i DATE 9/03/90 6:44: F L 0 14 M E M 0 R I' A L H O S P I T A L PAGE 7 DAD DEOT TRANSFER REPORT FOR PERIOD 8/01/90 THRU 9/31/90 PATIENT NUMDER ######4## PACENT NAME ######4#4 #4###4## 0L~pRANTRR NAME rg I~ PFX NUMBER NAME, ADDR, TV, ST, ZIP NAME, ADDR, CIM ST, Zi ADMITT ED D SCFlAR C p gg MppUTgOED W p R AIT ~ BAA C QUNT - EO OF I 201 13519 C090LOW BA14DY COSLO tJ RSHALL MICHAEL 1/09/80 9/31/60 "79 00 iJ V/% MARSHALL b1 MA NOER TX 76266 SANDER R TX 76266 No response to collection efforts. 102 $409 X qq NELDON CuugNNINOHACMp PAUL 11/26/7q 12/02/79 0/31/00 173.00 L NISVILY TX 75067 L 141 VILLEO TX 75067 Balance after insurance) no response. L, 101 2349 COX s SHIRLEY COX , TRAVIS 2/x'+,3/00 2/25/00 0/31/60 120.60 AT 2 BOX 1179 R1 BOX 1179 DENTDN TX 76201 DEAN TX 76201 No response to Collection efforts, 101 0074 CRADDOC~ r DEBBIE CRADDOCK TERRY 47/03/79 9105/79 0/31/80 292.55 ?k3 LOO 200 *M5 303 LOOP 299 NMS NTON TX 76301 DENTDN TX 76201 Arrangements not kept, Pot 15049 CRAIQESCENT , BENJAMIN CRA1g , BENJAMIN 3/13/e0 9/31/60 90.25 ` 701 CR 701 CRESCENT DENTDN TX 76201 DENTDN TX 76701 No response to collection efforts. 205 $323 CRAVENS WESLEY NT N r COUNTY JA1 3/11/90 0/31/00 131;00 1 EXECUTIVE MOBILE HONE PR *23 j1 MCKINNEY LANE DALLAS, 7 T% 75065 ONT~IJ TX 76201 NO response to collection efforts, j 201 16299 ~RAWFU~O1RD10p~1 09RO09TT CRqAWFO%D1pz1 , OEOROE 3/06/GO a/31/60 34.50 .0 P LAKE UALLA~ TX 76249 LAKfitt DAI.I. TX 76249 NO rospOnse to Collection efforts. 203 6040 CRg;0HTOLRIAL , TERRI EIO19pppERIAL r TERRI 4/02/00 6/31/$0 37.00 QIITON TX 76201 GNTON . TX 76201 No response to collection efforts, 201 161226, CRfl1 , KESHA CAW1'lIOI LE014ARD 3/21/DO 6/31/00 $6,20 110! LU ^KEV EW 11* 1.A EV EW LAKE ALL~9 TX 75065 LAKE UALL 9 TX 73065 No response to collection efforts, 202 17407 CRI P , JOHN 18P r JOHN S/12/90 9/31/9tl 300 F7. WORTH DR IV 0gg fiT, 14ORTH DRIVE' 0 NTON TX 76201 HNTON TX 74201 No response t0 collection efforts, f 1201 17072 ROBI , JOANNA CR 8 JOANNA 4/19/60 0/31/00 36, 60 BEN qMPDELL 47q0 AMPDELL U00 TX 74201 BGiT N 'X 76201 Insurance denledl no response to collection f KEWNETH OR114F:6 , OENL a + ~r3 201 15130 RO:1G ji° 0/31/00 93, 90 ' T DO% 53K 04,1 ` TX 75034 SCb BOX 6311 TX 75034 No response to collection efforts, 202 15947 JAyUVM06T5TYMyyONO FR WI/ DEDAA FgRqAppNK. Lg r , COY 3/17/00 9/31/00 113 50 ` CFWQsVILLE TX 76067 LL~W19 L,ONB FR WY TX 75067 No response to collection efforts, r a , li Now 1 ' . 1 DATE 9/03/80 8:44: F L 0 W M E M 0 R I'A L H O S P I T A L PACE 8 I, DAD DEUT TRANSFER REPORT FOR PERIOD 9/01/80 THRU 0/01/80 PApf1EkT S YYYNYYYYN PArIgNT NAVE YN~NYNYIIN YYYNNNNN QUARANTTQpR MANE YkaN4YrN rr~g Ap opp pg PFX I4.M.EUMO.R NAME. -ADD - C--- 8T. TIP NAME, AD-- C-TYr 8T, IIP ADMITTED DISDDppCHARGED WliI EdFF OFBAAC60UNT 101 13308 CRUTHI9 JERRY C4VTHIS JERRY 1/02/80 1/15/80 8/31/80 210,40 DOk 401 F o BOk 451 01 THAN TX 76693 WORTHAM TX 76693 Balance after Medicarej no response, i 201 15894 DAVIDSON HATTIE M DAVIDSON HATTIE M 3/05/80 O/3l/80 69,60 714 EMERY 7714 EMERY DENTON TX 76201 DENTON TX 76201 BalanCO after Medicare{ no response I. 102 12192 AV~~IS , QEOROE gDAVIS . CEOROE 2/1'3/00 2/21100 0/31/80 ,173.50 l OCCII AOX 179-C NOb TX 76285 NA OX 179-C TX 762$5 Balance after Medicarel no response, 201 17992 DAW'S f , JOSEPH P DAW 9 , JOSEPH P 9/16/80 8/01/80 69 00 244 SHADY DROVE 24q~ SgHADY GROVE IHV NQ TX 70061 IRVINO TX 75061 Unable to locate. 201 16491 AELA^b9A , 01491DA DFL ARRORA , ANTARIO 3/31/00 8/31/80 11,60 i iD~EXXWNN` TX 76201 SATRN~1 TX 76201 Movedl left no address. 701 17600 jjy~Nft HICKORY N603SCOTT BE11IJW HICKORY 060 SCOTT 5/05/00 8/31/80 105.00 i NTON TX 76201 DENION TX 76201 Moved; left no address. t 902 17600 t i NW HICKORY N603SCOTT qjj NE HICKORY 06013 SCOTT 9/146/00 8/31/90 11 00 ' 1 WW O N dN TX 76201 DEN Ot4 TX 76201 Movedl left no address. 201 17017 yYNIJ PATRICIA IfUNN PATRICIA 4/10/00 8/31/80 136,90 GNTONOMAS APT. 11J &13 THOMAS APT, 13 a TX 76201 NTON TX 76201 Moyod; left no address. 101 18999 ~09RAVONDALE r DENNIS p AR DENNIS 6/14/80 6/17/60 0/31/00 414,39 205 AV6NOALE i OUSTON TX 0 HOUSTON TX o Moved; left no address, 101 7699 gozy PAMELA g ? i ~ ~I BOX 600 LZY r KEIJNETH 8/27/79 9/29/79 9131/80 1106-05 AU11 6Y AT DO% 600 TX 7627 AUIIR6Y 7% 76727 Arrangements not kept, 201 15298 PTIN TIM 1NT1140 TIM 2/27/00 8/31/80 65100 i LQMI RONADO 01072 ^ Ioi CgORONADO 01072 TX 76201 RNTON TX 76201 No response to collection efforts, 102 11480W1t1E~~>> NO BOBBY EWIND , BOBBIE 12/3l/79 1/18/00 0/31/90 940.29 OAK CIRCLE 2 0 RED OAK CIRCLE LAKEe. OALLAS TX 78065 LnnAKE''IIAggVALgqLppAS TX 75067 No response to collection efforts. 201 19624 L 70H% ROp O AVENUE BILTX 75067 4Ewn9Vfl8tal) AVENUE BILLY 7/09/80 8/31/80 143,00 V 4 TX 79067 Movedl left no address, i r fi DATE 9/03/80 8 : 4 4 : F L. 0 N M E M 0 R I A L H 0 8 p I T A 'L PACE q BAD DI TRANSFER REPORT FOR PERIOD 8/01/80 THRV 8/31/00 PATXIENT NUMppER rrdrddrdN pAT~ggNT NAME********* aNNNddNN 00~qRAN'rQR NAME drdNdrNN DpT 1~ PF .NUM3 ....R NAME, ADL.'., C TY, ST, 1IP NAME, ADOR, CITY, 37, 1TP pgrg DATV F BA ANC& ~ ADMIT bIBCHAROED wRI90 F OFrkCCOUNT y } 201 15150 FRANK IN HARVEY FRANKL N HARVEY 2/24/80 pp 33 ^ PRO? 8 9/31/80 073.05 PRO? IP70INT TX 76258 P11O7 POINT T% 76258 No response to collection efforts, 201 18301 GAINER JESSE GAINER JESSE 5/29/80 DALLAROLE 1J3 TX 73204 UnLOOLA&OLE 03 TX 75204 Movodl left no address, 8/31/80 24,00 101 10657 PIMA Tr LEON OAhRggttT LEON 10/18/79 !0/x8179 29,50 RK LANE 914 F~ARK LANE 8/31/00 DENTON TX 76201 DCNTDN T% 76201 Balance after insurance! response, 201 19975 OARRIJ no nWSD PLRNSLL NANY G`A R18ON HANY JOE 7/0!/80 ART. Y AP 7015 PERNELL a/31/80 45,55 LEwIBV I Lti TX 77777 LEWISVILLE T% 77777 Unable to locate. 101 13729 Q?LIJERT80N KATHY OtLUERTSON N. DEL O&EN DEL ROBERT 1/14/80 1/18/80 0/31/80 439,37 ( LAKE DALLAS TX 75065 LAKE DALLAS TX 75067 !OS 14309 QOt0,,KA Unable t0 leCEt@, Dok 9p KfN09lJODD~ HARRY CdLL!~KA KK , HARRY i)/01/00 2/03/80 B/31/00 89, 40 LAKrrE DALIAS T% 75065 l1A{`E4DALLIg08w0OD Tx 75069 i 201 7349 4b09I{ATLAS ' WAYNE . p Bankruptcy, q~TuHXTLAd JAMES 7/243/79 8/31/80 125,25 DEMfQN T% 76201 DI:NTQN 201 6957 RNALAa BOX 121 STEVE ORAVS T% 76801 NO response to collection efforts, RUSSELL 7/14/74 031100 69,50 OR 74036 ItaoLA BOX 121 j I OK 74036 No response to collection efforts, 19930 GnVCN prUQCCA DIt~EN , pONNIE 7/12/00 C/U p01118 MATHEBON R1' C/(1 UOftt8 MATHE80N RT 0/3f/60 308.69 DECATUR 7~X 76234 I)LETUR ?X 76234 Mall returned) unable to locate. 001 19930 ORRpPFJp VVrrgg pp RE09CCA ORpCEpNp oo R014NIE 7/11/00 /6o 28 38 pfLUripplNTN TX 76290 p1LO7NTN T% 76246 Mail returned; unable to locate, p0~M UU gg ~ 101 16916 LA{al5FA4LA86 , J1HT% 790J>5 QAKEFDALA9 JIMMY A 4 709 S M4ER 790b9 Unable /EGO !Ocala 16/60 0/31 /80 18!,03 901 19860 09d~JHR1iRO LEOLIIf VIFARCR 6 NOItTHN~BT 16fH gg pp 7/10/80 0/31/60 81.00 KL IIOMA CI Y OK 77777 OALI AHt~III TYEET ' A OR 77777 Mail returned; unable to locate, 201 19020 oup roT71B INOCENCIO 0 rlERRgg1 , FRANCISCO 6111'15/80 ~ gq1U4 ETTIE 6/3l/DO 130.80 DSNrON 7X 76m U&NYOta YX 760001 Moved) left na Address, f `-t l r i • DATE 9/03/80 8:44: FLOW MEM0R I AL HO9P I TAL P,40E to DAD DEPT TRANSFER REPORT FOR PERIOD 8/01/80 THRV 6/?1/80 PATIENT NVMEDDER ryryrr*0* PArr gNT NAME rrrrrrryr rrrrrrr* 0UARAMTppR NAME *r*rrr#* DAT7E0 D OF pF% NUMBR NAME, ApOR, C~TY, ST, 21P NAME, ADpR, C17Y, 6T. 2 ADMI T [p DALANCp - _ WRTEOP- ACCOU 101 8074 HALL . ANNE - HALL---------------Ban--------- -g/08/74 9/31/79 8/31/80 -_----70 70,00 3p8 AVE 0 308 AVE D OENTON TX 761.'01 DENTON TX 76201 Arrangements not kept. 101 14161 HALL CHARLES HALL CHARLES 4/26/00 4/20/80 8/3t/80 504.20 DENfbNb% 4380 TX 76201 WNTONOX 4380 TX 76201 Movedl left no address. 94 63779 HAMMONS LARRY HA11MO148 LM pp RY 12106/78 12/06/74 D/31/80 32•50 tSOg MOHICAN RT 4 Box 55 SHERW0b0 ~P NENTbN TX 76201 UNTON X 76201 Movedl loft no address, 1 $O1 20152 H7A7NShpNN r PETER HAA7NSEgqN N gg r PETER 7/10/00 8/31/80 69,00 t LEwIEVIiNL6T, .N 19 TX 79067 LEw16VILLET, 014 TX 75067 Unable t0 locate, ,..j 201 19534 HARDQTTLE , ANN HARDO7 LE ANN 3/04/00 8/31/80 44,70 R7. 9 n110% 1lp RT. a4 OX 110 DECAtuR TX 76234 DECA7V T% 76234 Movedl left no address, i 199 61432 HARDCASTLE . FRAN HAROCARYL£ JAMES 12/10 78 12/16/78 8/31/80 30,00 6Q1114' VADA 76201 LN ON TX 76201 No response to collection efforts. 101 3666 ROUTjL~ DO%136 r LIE, AtlRb7I L~ BD% 113b. r LEE 416/79 4/2$/79, 8/31/80 1294,68 ; DENTON X 76201 6EN1- N TX 76201 Arrangements not kept, 20t 10508 CNDEg50N LELAND IIENOPgtJASON LELAND 6/03140 8/31/80 40,50 ENTpkRMAL Nla TX 76201 p6N7'ON MAL 014 TX 7620t Unable to locate, i 1 '17607 HEARING , DAVE A HfRRIN11 DAVE A 0/19/00 9/3t/0o 387.65 NEUGftLANp365 TX 77602 NVDER,.AND365 TX 77602 Unable to locate. 199 60501 HICKS JO gHgIdK5 , ROBERT 8/03/78 8/19/78 8/01/80 999,98 ' 7641 OENTONOY'f 11JOHAM ' rx 76201 Arrangements not kept, s 101 18443 HICg~tlD0% f28C ' SYBI 7503A HICKS 1O% 128C ~ SYBIL 81:10/00 6/05/00 8/31/00 2251,65 R1tl~A TX 78034 No response to collection efforts, .TON i 101 13500 N~ 6 6P BROADWAY FIAN bOKRE 7aA01 N EiKA~E DROADWAY MARGARET t/OU/SO 1/19/80 8/31/80 71,20 OC Tx 74401 Balance,aftoe insuranrel no response. tot 14022 pHpODO!yES TROVETTA 14r0r00Eog ENNIS 0112/80 3/14/00 SY31/00 669.95 OEN10Nb% 29^ . TX 76201 DEN~ONOX 292 TX 762ot Arrangements not kept, i i. r i a ,i DATE 9/03/80 9:44: P L O W M E M 0 R I A L H O S P I 'T A L PACE 11 1 DAD DEBT TRANSFER REPORT FOR PCRIOD 8101/80 THRU e/31/80 PATIENT NUM ER rwMwrryw♦t pArtgNT NNgqHE wxrMerwA• wwrrxwwr OUARAMMTOR NAME rrw4wwww DAfE q g q t~l 4 PFX Nt/MD1RE NAME,yADD1, CITY^«BT^«x1P_+NAME, ADDR, CITY,_ST,-IIPyr ___ADMITTED DI8_CHA6) Wp g f~F BALANC8NT _ ~YHOpF OF ACCD 201 19(80 HdJ~QSOM ~ LORIJA 110D0gg N ~ I.pRNA 6/l9/e0 r 9` B LL AVENVE 9f7 D?LL AVENUE 8/31/80 90.70 DENTO TX 76201 DENTON TX 76201 Unable to locate. 201 13057 HtltlQAN , NORA OOAIi 240 R CHLA140 , DOUGLAS 12/26/79 8/31/80 e2. 9g rr 4..0 RICH{,pryp FARMER £1 BRA14CH TX 75234 FARMERS DRANCH TX 75234 No response to Collection efforts, 99 63407 H WARPp , OEJJE LArIIEN MARY 10/31/70 10131/719 8/31/80 25.90 4?4 BIMMONS l gIMMONS DENTON TX 76201 DENTpN TX 76201 No response to collection efforts. 103 9080 HUNT , JOHN HUNT JOHN P.0 BOX 2054 P. O. BOX 2054 10/05/79 10/14/79 9/31/e0 710.49 DEMON TX 76201 DCMYpN TX 76201 No response to collection efforts, 201 10020 HUBTtD , JERRY HUfiTED JCRRY 5/0/80 + 171 JAMC8 8T, TX 76201 x713 JAMES 9731/80 80,90 1) N ON ENTON TX 76201 WVedl left no address. 201 18021 RUSTED , TERRY HUSTED JERRY 5/17/00 1 tD JAMES ST, 1718 JAMES 8T. 8731780 37,50 O NTON TX 76201 DENTON. TX 76201 MOVedl left no address, 101 15176 YIUTCHINOO ACKtE HUTCHINppg LARRY WIN LAX 9 MO PKN659 TWIN LA{tE nB PK8291J 6/13/80 8/31/80 372.80 DENTON 'rX 76501 UENT014 YX 76201 Movedi left no address. 201 17788 fly %HTNSON ANN rUTCH1NBON ANN 97. 2 tT. 2. $/10/60 9701780 83, go AUDREY TX 76247 AUBREY TX 76221 Unable to locate, lot 14944 H 0C0 KENNETH HYDE KENNETH 4 1 PFTTIE 4F4 NEPTIE 2719/80 2/19/tl0 0/31/00 294.89 LTJI TX 76201 OFNTON TX 76201 Arrangements not kept. 102 t(342 .4R IC p JEREMY )RICK ppp77FF AGNNSTH 2/05/80 7/1l/09 8/31/80 ~ewi UrLL 'nD TX 75067 LEW18UI1III,, °p TX 75067 861ance after Insurancel no response, 226 e8 001 18441 JACK JON , MARY %)ACKSnN , JOHN 3/0.?/80 1X 3 AOx 134 8/31/80 62.79 Lp OINT rX 76258 PILOT POINT TX 76298 No response to Collection efforts: 101 15992 ~AMB' , TERRANCE JAMC8 , TERRAMCC 3/05/00 3/07/00 8/31/80 927,60 10"gENrON 9910QFNTON DENf N TX T TX 76201 Unable to locate, 201 20393 JOHI4BMplJ , CHARLES ME HOME AARV' CHARLES' 71V6100 LA8k DUA4DI_Hpp gM6 PARR TX 79069 IAKG DALLAS 8/3!/90 76,50 TX 75065 M411 returnedl unable to locate. I '71 i DATE 9/03/60 8:45: FLOW MEMOIT I AL HOSP T TAL PACE 12 DAD DEBT TRANSFER REPORT FOR PERIOD 8/01/80 THRV 6/31/80 PENT NUM~ER 1,~NMiM11AY PATIENT tJAl4E rsrkr+rrx4 ♦*M*M*** ynANTOR NAME ADAM ED PATE pp RALANCe NUMO RR NAME ADOR, CITY, 8TH 2IP NAME ADDR CITY, 8T, ZiP ADMITTED DISOHA&'OED WRITEDSF OF ACCpUNT W201 16009 JUHNBON LILLY JOHNSOP+- , LILLY 3/10/80 6/31/90 71.90 UNTONITH 317 TX 76201 Dl4NT09111 ITP 1119 TX 76201 No response to Collection efforts. 1201 17641 JOHNSON , MARY JOHNSON BILLY 5/11/80 6/3t/00 109,90 014 WOOD 314 WOOD DENTON TX 76701 DLNTON TX 76201 MOYedi left no address, 1 15103 JOHNSON j SHEENA JOHNSON , JANICE ^2/.^.4/60 0/31/60 153.0$ BOX 411 BOX 411 KRUM TX 76249 KRUM T" 76249 Arrangements not kept, 101 6210 JUAgCZ FERNANDO JUAR8j , F~RNANDO 3/12/80 3/1$/60 6/31/80 1095.35 R77 30X 203 ACORN RANCH 1.5 OX 303 ACORN RA CH DENTON TX 76201 DENTON TX 76201 No response to o011e0tion efforts. 202 13713 JUAREr RAYMOND JUAREZ , LYDIA 3/00/80 6/01/00 94.65 1807 E MOHICAN J R07 F. MOHICAN DENTON TX 76201 OBNT~0 TX 76201 Moved; left no address. 203 13713 VAREZz , RAYMOND JUUARE , LYDIA 6/07/80 0/31/80 97,50 ' k ~10 5 LOCUST 1807 MOHICAN DENTON TX 76201 DEI4TON TX 76201 Movedi left no address. z 201 15470 IRLER57 , STEVE Kp(Fj Lg57 r STEVE 3/03/80 8/91/60 36,80 UM Tx 76240 1111 M TX 76240 Movodl 'left no address. 1 16904 fl0PFFER , NAI4CY K OCFFER NANCY 4/14/00 9/31/60' 72,50 gqCORN RANCH gg10 ACORN RANCH I DENTUN TX 76201 OENTON TX 76201 Movedl loft no address, 1 10544 KJUSCR , PAUL RUOB , RANDY 11/01/79 0/31/80 645,35 U NTTON 'PRAIRIE $9 TX 76201 WOM,PRAIRIE M9 TX 76VOI Movidi loft no address. 202 1$866 L!,WTON OPEL V ENOUAgt R06A 31 We(, 0/31100 74,00 130q W68T OAK STREET 1 NV A4 OAK 8TRE6T E D NTON TX 76201 D NTO14 TX 76201 NO I'es OnSe t0 Collection efforts. 201 14669 LKC , OTI9 i.E P 2/09/00 0/31/00 61.50 RT AOk 1056 R BOX 1056 DENT&I TX 76201 DENT% TX 76201 No response to collection efforts, 1 lot 9937 LEE ROBERT LCL , ROBERT 2/0/00 2/24/00 0/31/60 826,55 W ' 1. YNQI 1' `4AYNE y TX 76201 1+014 TX 76201 No response to Collection efforts, 201 16005 L(I8'TCR , CHARLES L1D6TF.Q , CHARLES 31t7/00 8/91/90 72,50 10 JOHNSON 00 1000044 ,~~fINStlN ND DBN aN YX 76201 WNTO'I TX 76PPOI No response to Collection efforts, insurance j denied, s tl • r , DATE 9/03/80 0:45t F L 0 W M E M 0 R I AL H 0 9 P I T A L PACE 13 BAD DEBT TRANSFCR REPORT FOR PERIOD 8/01190 THRU 8/31/00 I.S. P 1 PATIENT rUMB R NAME**ADDRfAC YT UAMEX***NAME* AODR***#**.O TAIRANTRR NAME DATgg ppppTE ppArE pp~~+ IALANCcg FX N »Z.__N _AM , ~..,^ZI_~,_^~_ADMITTED DJBCHAROED {JA TEOFp OF ACc 6NT 202 11247 2 NO , 9114DY L NQ JEAN 3/10/80 8/31/80 101.79 ¢OTO~T. NORTH DRIV 030 " 0 Ft. NORTH DRIVE 0TB 76201 No response to collection efforts, DEEN TX 76201 NTON , 199 60291 TITUS OLEMM 6~j10UOoB GLENN 4/22/70 5/26178 8/29/80 3739.09 76201 DEN7ONITAt1 TRAIL TX 76201 Patient deceasedi, estate in probate. 101 17459 TRAVIg BOBBY TRABVJS BODBY 5/15/80 9/29/00 8/29/80 2701,35 Rrr OX 143 R 00X 143 DSNTON TX 761201 D NTOM QQgg TX 76201 Moved{ left no address. 101 13423 ~tiQiNBGRADLOUNOVIM MJ61118TY ~RFOSIWlOR~OQONQUiN 0163CHARLES 1/06/80 1/ll/00 8129/00 160.65 Hb[[Vss9TnN TX 77034 HOU5TO14 TX 77034 Arrangements not kept, 201 19781 TUCKER TAMMY TUCKER r JACK 3/11/80 8/29/80 $6.00 ATioT0IJBOX 84 TX 76201 Al. 4NBox 84 TX 76201 NO response to C0114000n efforts. 201 14006 fflOOU DAVIDSON V EORU r DAVIDSON 1/^22/80 0/29/00 9"1.50 AVENUE 0 06 2 g VENUE 0 06 U~NTON TX 76201 1) N Tx 76201 No response to collection efforts. lot 17627 VALEN7MLA TEREBA VAL6'N U LA1JAD , MESA 8/06/80 5/09/00 0/29/80 787.10 zzI gg 3 U U D CC R NADO 020 J 301 CRO 0 N Y007 021N T{J TX 7b^201 DGNTON TX Rq 76401 MOVed{ Left no address, VAU i 06/00 201 15635 pTV4ti OX 1512 N. CbRINT#XR 76201 p(T~IJ1 pp'ONOX 1512 N. COhINT{BtxRtl, 76201 NO/reSpO se t0 collection eff02rt9 60 34.75 201 13500 MG LEONA ~U%057 LEONA 1/11/80 8/29/80 100.35 JUS TI?7 TX 76247 JUSTIN TX 76747 No rosponso to collection efforts, ' Rot 17907 Y$CK r OEOno6 YUCK OfIORQE M 5/16/00 0/29/00 99.75 ARROILE TX 76226 AO LE TX 76226 No response to collection efforts, 202 11720 ZA AZAR MANUELA Zn AZAR , MANUELA 11/19/79 0/29/80 32.50 { 4 HIOHLAND 4f~ 11 OHLAND OFINTON TX 76201 DENTON TX 76201 MOVed{ loft no address. ' TOTAL CAD DEBT WRITM-OFF THIS PURIM 44934,42 { 3 vi t { . i { f r w { 'r 4 „ G eez I „4rrta BOARD OF DIRECTORS BUSINESS MINUTES o,le - Jply 24, 196D Page The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p.m, on Thursday, July 24, 1980 with Mr. A. E. Wyatt, Chairman, presiding. Other Board members present were Mr. George Hilz, Mr. Brad Moore, Mr. Gray Shelton, and Mrs, Mary Williams, Also present were Mrs, Wilma Fritz, Mrs, Sid Graham, Mrs, Gloria Madewell, Dr, J. Hampton Miller, Mr. Leonard Watson, ano Mr, Allen Cook from the Dento Record Chronicle. } The minutes of the previous meeting were reviewed and approved as presented. Mr, Hilz asked Mrs. Fritz to review the financial statements and report on the operation of the hospital for the month of June. Mrs, Fritz stated that-the current ratio is 2,86 to 1, Average dally census for the month of Juno was 91,4 per day. She noted that June reflected for only the second time this year an operational loss. Excess of revenue over expense for June was $21,520, and year-to-date the excess of revenue over expenses was $425,329 with 87% of revenues collected to date. There was some discussion concerning the improvement in revenue over expense in the depart- ments which were formorlly under contract, The Bad Debt Charge-Off List in the amount of $43,849 and the Charity Charge-Off List in the amount of $18,569 were reviewed, Mr. Hilz moved that the financial report, including the charge-off lists, be approved; this motion was seconded and passed by voice vote, I ~ Mr, Watson commented that he, Mr. Wyatt, and Mr. Shelton had attended a Budget Hearing for the County at which time the hospital's proposed budget was submitted, A decision concerning funds from the County should be made September. He also commented that a financial office fro on the second Monday in telephoned him and asked some questions concerning the budget. the City of Denton had notedMthaththe Fn read oundation minutes voted of to h fund Foundation the Meeting held on July gra 10, He i ultrasound unit at $729000. Mr, Moore moved that the Foundation;s report beaccepted; i this rnotion was seconded and passed by voice vote. i Minutes from the July 16 meeting of the Safety Committee were read'by Mr, Watson. There was some discussion by the Board re ardin new tower by the Emergency Room, Mr. Sheggto suggested prevention of ice falllng from the tv of installing some circular protective shields shouldbestudiedheThes Board tmembers ' agreed that some type of protective shield or cover which would prevent ice hazards should be investigated. Also, there was some discussion concerning wfie±.t;er or not a red warning light should be installed on the top of the tower's antennae, Mr, Watson reported that the tower is lower than the 200 feet Mr. Hilz moved that the Safety Committee Report be accepted; this motionnwas seconded And passed by voice vote, The Utilization Review Committee's minutes were reviewed. It was noted that the j committee had reviewed and approved the Utilization Review Plan, reviewed and Justified for admissions and lengths of stay, Mr, MorCharts e movedtlthatnthe Utilization Review Committee Report be accepted; this motion was seconded and passed by voice vote, Or, Miller read the minutes of the July 21 Executive Committee Meeting, He explained that the amended Rules and Regulations of the Medical Staff regarding the Department of Anesthesia and the'responsibiiities of the Chairman had been re-approved by the Executive Committee and will be re-submitted to the Medical Staff in August for t Or consideration, He noted that the Infection Control Committee had approved the Employee Health Program and that the Quality Accountability Committee had presented j results of on-going audits, In response to the Board's request for assistance, i Dr. Miller had asked each of the Exe uti a Comm a emb rs I equipment approved for urchase in f scan year itt$ ~ew he 1i t f P 1 198.8 an pr r e tie lisp iRttte dt' i y BOARD OF DIRECTORS i i BUSINESS MINUTES oa~a July 24 J9$0 P'o order of importance. The results of the survey were announced with the two most I needed items being the replacement of radiographic fluoroscopic equipment for X-Ray room N3 and purchase of bedside module for arterial pressure monitoring for the Coronary Care Unit. Other items in the order of their need were listed and discussed. The Board members expressed their appreciation for the cooperation and assistance of the Medical Staff in this matter. Dr. Miller presented the medical audit, "Metrication Errors," and reviewed the results of the audit. He also presented applications from the following which are recommended by the Medical Staff: Chantanaros Lertdilok, M.D. for the Courtesy Medical Staff with privileges in pathology, David C. Herbert, M.D. for the Courtesy Medical Staff with privileges in emergency medicine, and Terry T. Angevine, D,D.S. for the Dental Staff with privileges in oral surgery and maxillofacia surgery. Mr. Shelton moved that the Medical Staff Report;, including the'medical audit be approved; this motion was seconded and passed by voice vote. Mr. Moore moved that Dr. Angevine be appointed to the Dental Staff with the privileges as requested and tha Dr. Herbert and Dr. Lertdilok be appointed to the Courtesy Medical Staff with their I respective privileges as requested; this motion was seconded and passed by voice vote. Mr. Watson reported that efforts have been made this past month to improve the hospital's grounds, and under,the direction of Mrs. Dixie Clardy there has been a marked impprovement. He also noted that there has been some landscaping done around the new ER parking tot, and new vinyl wail covering is being hung this week in the Nursery corridors, Mr. Watson announced the dates for the upcoming Texas Association of Hospital Governing Boards Workshop and-urged the Board members to consider attend- ing. The tentative schedule for the conferences during the Joint Commission on Accre- ditation of Hospitals survey was announced, and Mr. Wyatt urged the members to attend at least one of the meetings. The Constitution and Bylaws of the Auxiliary to Flow Memorial Hospital were reviewed and discussed. Mrs. Williams moved that the Board of Directors approve the bylaws; this motion was seconded and passed by voice vote. The meeting was adjourned at 8:30 p.m.•for Executive Session to discuss personnel At 8:40 p.m. the Board of Directars met in Executive Session pursuant to Article 6252-17, Section 2 (g) V.A.,T.C'.S. The Board of Directors reconvened at 9:05 p,m, to act upon the recommendation of the Executive Committee of the Medical Staff to suspend from the Medical Staff for thirty days Dr. J. R. Anderson, Dr. J. J. Feldman, and Dr, W. C. McCormick. Dr. Milla had explained that this recommendation is in accordance with the Medical Staff's Rules and Regulations. Each of the physicians had had their admitting privileges suspended ? on three occasions during this year because of delinquent charts, and it is the policy of the Medical Staff to recommend suspension from the Medical Staff after three such suspensions. Mrs. Williams moved that the Board of Directors sustain the recommendati n of the Executive Committee-i.e,, suspend Dr. Anderson; Dr. Feldman, and, Dr. McCormick from the Medical Staff for a period of thirty days beginning July 281 1980 and ending August 27, 1980 with the physicians to be automatically reinstated on August 27 if K all their delinquent records are completed, This motion was seconded and passed by voice vote, i The meeting was adjourned at 9:10 p,m. t i. Mary Henderson Williams Secretary gm " I AOARD OF DIRECTORS {BUSINESS MI< HJTES Dale June 19 1980 Page 11 The Board of Directors of Flow Memorial Hospital met in regular session at 7,00 p.m, on Thursday, June 19, 1980 with Mr. A. E. Wyatt, Chairman, presiding, Other Board members present were Dr. A, I-1. Finlay, Mr. George Hilz, Mr. Brad Moore, and Mr, Gray Shelton, Also present were Mrs, Wilma Fritz, Mrs, Gloria Madewell, Dr. J. Ht Miller, Mr. Tony Franzen, and Mr. Leonard Watson. Mr, Allen Cook from the Denton Record Chron- icle and Laura Haynes from North Texas State University were also presc^t. The minutes of the previous meeting were presented and approved following a motion from Mr. Moore. Mr. Hilz asked Mrs. Fritz to review the financial statement<< and the monthly report She noted that the average daily census for the month of May was 93,4 with year-to-date average being 95.5. From the statement of operations, Mrs. Fritz noted that the month's excess of revenue over expenses was $39,560_and year-to-date $403,809, She explained the improvement in the reduction in the loss of operation of the Emergency Room and noted that the Intensive Care Unit had shown a loss during the month due to a low census durin the month. The average cost per admission of $1,282 is an increase in expenses of K2% from the same time last year. The Charity Charge-Off List in the amount of $14,357 and the Bad Debt Charge-Off List in the amount of $87,586 were examined, Mrs. Fritz outlined the year-to-date cash receipts as 88.2% from patient accounts, 1.6% from recoveries of bad debts, 4.1% from other operating revenue, and 4,6% from donations and appropriations (1.5% from Foundation and 3.1% from donations and appropriations including the city and county). Mr, Hilz moved that the Board approv the financial statements and charge-off lists; this motion was seconded and passed by t voice vote, i, r, 4 Mr, Watson introduced Tony Franzen, who is the newly-employed Patient Collections Manager, and asked him to outline his responsibilities and the operation of his depart- ment. Mr, Franzen noted that the bad-debt list is more accurately a "transfer" list and not a "write-off" list since all accounts listed are transferred to alternate collection procedures--i.e., some accounts are sent to an attorney for collection, some to a 'collection agency, some are processed through Small Claims Court. He added that'at some future date, he will request the Board s recommendations concerning a policy for aging of bad debt accounts. Dr. Miller read the minutes from the Joint Conference Committee meeting of June 19. He noted that there had been a discussion concerning the nationwide shortage of regis- tored personnel and the Texas Hospital Association's pplans to expand their-Health Career Program which is designed for high school students. The committee had been informed of the recent tests of the emergency generators to assure that both would operate properly in the event of an electrical power failure, Mr. Shelton moved that the Joint Conference Committee Report be accepted; this motion was seconded and passed by voice vote. The minutes of the June 13 Safety Committee Meeting were read. It was reported that there were 44 incident reports for the month of May which were reviewed by the committee; no recommendations were made regarding the incidents, It was also noted that the alarm system for the X-Ray Department has been ordered and will be installed as soon as it is. received. Mr, Shelton moved that the Safety Committee Report be accepted; this motion was seconded and passed by voice vote. There was some discussion by the Board members concerning a possible hazard of ice formingg on the new tower and falling on visitors to the Emergency Room. Mr, Watson explained that the tower in question is the one installed as a part of the Emergency Medical Services Project of the North Central Texas Council' Of 06arnments through a grant from the Department of Health, Education, and Welfare, There was some discussion Concerning possible means to prevent the formation of ice. Mr. Shelton ! i t=..r,. 4~WiN~SJdfMVY/++ . w ~.rr lu nnr L,r iton u.,. pFt.~a.~..:awa..r.r..~..«_.,..... ..,........,..Z0.111i1A..1:.A1.IP_.B 4P ..L...t. . ...........ar~w~aswrnnr.r..wvrn 3 1.7 _B.OARR-QEtiDT~R1l4R,S _ - BUSINESS MINUTES Date ' _ - .June 19,:.1980 v, ga 2 Moved that the Administrator contact the North Central Texas Council of Governments and request their resolution of the problem before the onset of winter; this motion was seconded and passed by voice vote. Mr. Watson added that the NCTCOG would be the logical agency to correct this problem since they had financed the purchase and installation of the tower completely. There was also some discussion concerning a possible hazard during icy weather due to the steepness of the new Emergency Room driveway, Mr, Watson stated that the new driveway would probably not be any greater hazard than the first ER driveway. He explained that in icy weather, the Maintenance Department is responsible for making sure that the driveways are safe. They utilize chemicals to melt the ice as well as 1 a tractor with a scraper attached. Also, the City furnishes sand during icy conditions, if after all methods to remove the ice have failed, the Maintenance Department is responsible for barricading the driveways., The Utilization Review Committee Meeting's minutes of May 20 were presented and reviewed, There were 97 Medicare and 24 Medicaid and 16 randomly-selected cases review for admission, as well as 24 Medicare and 10 Medicaid cases reviewed for extensions of stay, All cases were ,justified. Mr. Hilz moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote. Dr. Miller reviewed the minutes of the June 16 meeting of the Executive Committee and the June 17 meeting of. the Medical Staff. He reported that Dr. Silverio Obaldo had been approved for privileges in diagnostic nuclear medicine. He reported the Executive Committee's recommendation to reinstate Dr. 0. K. Boyd to the Courtesy Medical.Staff. Mr. Moore moved that Dr. Boyd be reinstated to the Courtesy Medical Staff; this motion was seconded and passed by voice vote. The Executive Xommittee had recommended a thirty } day suspension from the Medical Staff of Dr. Boots Cooper because she has had three 1~ suspensions of admitting privileges `.)ecause of delinquent charts Dr, pp that this recommendation is in accordance with the Rules and Regulations iofathexliedical Staff. Mr. Moore moved that Dr. Cooper be suspended from the Medical Staff and that she ' be reinstated at the and of thirty days if her delinquent records have been completed. This motion was seconded and passed by,voice vote. Dr. ' ion y which had been recommended by the Credentials Committee,iitheeExecutiveeCommittee, andor the appropriate department. The applications were from Franklin J. Charney,, M.D, for the , l or Active Medical Staff with privileges in surgery and Peter Cimbolic, Ph D r . . , Allied Health Professionals Staff with privileges as a Consultant to the physician, { Psychologist. Mr. INN moved that the applications be approved; this motion was - seconded and passed by voice vote.. The EKG quality assurance audit eras presented and i explained by Dr. Miller; he noted that as a result of the audit, a committee has been formed for educational purposes and to review Interesting cases, the Board accept the audit; this motion was seconded and passed by0voicenvotemoved that The Bylaws for the Board of Directors as had been revised at the May meeting were presented, _Mr. H11z moved that the Bylaws be approved as presented; this motion was seconded and passed by voice vote. } Mr. Watson announced that the Joint Commission on Accreditation of Hospitals has scheduled an on-site survey for July 29 and 30. He has, therefore, cancelled his reservations for the American Hospital Association Convention which is scheduled on the same days. r Architect, A. Warren Morey, had visited recently to view the Neonatal Intensive 4 Care Unit relative to possibilities for expansion. Updated blueprints will be mailed ' to Mr, Morey so that he can make a determination. Mr. Watson reported that the approved budget had been submitted to the City and County for their approval. He added that the Budget Advisory Committee of the Medical _ ....~.._.ta..x,vex!. n!trke.5,...4,.ut.~,!~.~,.,u. ..r.~~ f I owl _;1t0ARD__OF =SII RECTQRS__e BUSINESS MNUTES n,io June 19, 1980 Page 3 Staff had reviewed and approved the budget prior to its submission to the City and the County. Mr.a~~ tson reported that the fluoroscopic x-ray machine which stopped functioning two weeks liad been repaired today at the cost of approximately $21,000, He noted that at some future date when it becomes necessary to replace the table part of the machine, the new part added today will not need to be replaced. The Administrator recommended that the fluroscopic equipment in X-Ray Room #3 which had become inoperable 6-7 weeks ago be replaced at the estimated cost of $150000, He explained that he had received bids for the replacement of this equipment and noted that in the budget the amount had been posted as $108,000. That equipment, however, would not be sufficient to handle our needs, Mr. Watson proposed some ways " to fund the purchase of such equipment. There was some discussion concerning the need to replace this equipment relative to any other piece of equipment which might need replacing. Dr. Finlay explained that without the replacement of the equipment in Room #3, there will be delays in doing the fluoroscopic examinations. Mr. Wyatt asked Dr. Miller to comment from the physicians' point of view, and he replied that while the replacement of the equipment is necessary, perhaps it is not mandatory that it be replaced before the beginning of the next fiscal year, October 1, 1980. Mr. Shelton moved that the Board request the Executive Committee of the Medical Staff to prioritize the items listed in the capital equipment list for 1980-81 so that the Board can have more information concerning which items should be purchased first. This motion was seconded and passed by voice vote. Until this information is received, the Board agreed to postpone the purchase of equipment for the present. k Mr. Watson noted that the $125,000 money market security would be maturing this month and asked the Board about renewing. Mr. Moore moved that the security be re i` invested at a Denton County bank or lending institution offering.the highest interest for six months. This motion was seconded and passed by voice vote. A resolution authorizing Mr, Watson to sign a loan agreement for the $72,000 to purchase the gray scale ultrasound unit was discussed. Mr. Watson expplained that this r resolution would be needed in the event the Foundation agrees to purchase the unlt at their July 10th meeting. As in the past when the Foundation has purchased equipment, z the hospital applies for the loan and makes the payments; the Foundation then reimburses } the hospital for the loan payment, Mr. Moore moved that the resolution be authorized; this motion was seconded and passed by voice vote. There was no further business, and the meeting was adjourned at 9,40 p,m, i ° Mary Henderson Williams Secretary 1 gm _~.~"::L:.T"Y`l+'.."..L'~2._-•':L :«LY~Y" L:_Ci ~:L :2?t: Y -=~Y2"t._ S".' S~.Y_"]-T=~1 ~J. ~.S"..L"S_. I , q BOARD OF DIRECTORS RUSiNESS MINIJTES UA~P May 22, 1980 pa9" 2 the Report from the Foundation, this motion was seconded and passed by voice vote. I ( Mr. Watson read the minutes from the May 20 meeting of the hospital's Safety Committee. He noted that the long-standing problem of an alarm system in the X-Ray Department should be resolved soon. Incident reports had increased from 38 in March ! 1 to 47 in April. The Safety Committee recomanended that the equipment stored in the f hallway by the Physical Therapy and Cardiopulmonary Departments be relocated. The members agreed that the equipment presented both a safety hazard and an eyesore. This recommendation was discussed by the Board members. Until such time that a permanent storage building can be acquired, the Board asked the Administrator to secure a tempor ary storage space to relocate the equipment as soon as possible, Mrs. Williams moved that the Safety Committee Report be accepted; this motion was seconded and passed by voice vote. The Utilization Review Committee minutes were presented and reviewed. Mr. Hilz moved that they be accepted as presented, This motion was seconded and passed by voice vote, Mr. Watson discussed the need for expansion of the Neonatal Intensive Care Unit, He stated that adding 3-4 beds would fulfill the present and projected needs for the next few years. He explained that expansion of the N1CU higher than four beds would create a major expansion project in that the labor and Delivery Suite, Post Partum, and Newborn Nursery would likewise need additional space. He recommended that an architect be employed to determine the possibilities for the minor expansion, and the Board agreed. Mrs. Williams reminded Mr, Watson that the Board had requested a list of additional equipment which would be needed for a larger N1CU, Mr. Watson ropcrted on the status of the capital equipment acquisitions and L t. repairs which had been approved by the Board--i,e „ (1) the anesthesia machines have been ordered, (2) anesthesia monitors have been ordered, (3) the fetal heart monitor has been received, (4) the ER entrance and driveway is 90% complete, (6) the Ieve ling of cooling tower is 50% complete, (6) the carpet has been ordered and will be installe in one week to 10 days, (7) the beeper system has been ordered, and (8) the roof repairs will be done after June 1, k The proposed 1981 Financial Plan was reviewed, and Mrs, Fritz outlined some of the budget's factors. She noted that the plan is based on an average of 90 patients per day and is projected based upon past experience utilizing the actual experience through the first six months of the present fiscal year, The budget provides for 3 an increase in the daily service charge for all categories of rooms (the first increas since December, 1978) to provide additional revenue and provides for expected in- creases in expenses. j The meeting was adjourned at 9.50 p.m. for Executive Session to discuss personnel ! i At 10,00 p,m. the Board of Directors mot in Executive Session pursuant to Article 6252.17, Section 2 (g) V.A.T.C,S, The Board of Directors reconvened to act upon consideration of the 1981 Financial Plan, including the salary expense, Mr. Shelton moved that the proposed 1981 Financial Plan be approved with the Payroll Disbursement amended to $4,271,533, This motion was seconded and passed by voice vote, Mr, Self moved that the salary of the Administrator be increased to $38,500 effective October 1, 19801 this motion was seconded and passed by voice vote. The budget will be submitted to the City of I Denton and Denton County for their consideration. The meeting was adjourned at 11,00 p.m. reGarI_ r. Vi'pCNj~ BOARD OF DIRECTORS S~/f BUSINESS MINUTES a~io May 22, 1980 I The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p.m. on Thursday, May 22, 1980 with Mr. A. E. Wyatt, Chairman, presiding. Other Board ~ members present were Mr; George Hilz, Mr. Brad Moore, Mr. Billy Self, Mr. Gray Shelton and Mrs. Mary Williams, Also present were Mrs. Wilma Fritz, Mrs. Gloria Madewell, j Dr. J, H. Miller, Mrs. Rita Miller, Mrs. Sid Graham, and Mr. Leonard Watson. The minutes of the previous meeting were presented, reviewed, and approved. Or, Miller presented the Medical Staff Report and reviewed the minutes of the Executive Committee Meeting. He explained that some changes had been proposed and approved to correspond with the responsibility changes in the Anesthesia Department-- i.e., that Dr, Love, by virtue of his medical staff appointment as Chief of Anesthesia has responsibilities similar to any other chief of a department or service; while Margaret Di Paolo as the new Chief of Nurse Anesthetists will be responsible for directing and scheduling the nurse anesthetists. He reported that the Quality Account bility Committee had detailed results of studies performed. Audits which had been performed and approved by the medical staff were presented--specifically "F'adiological Diagnosis of Pulmonary Embolism on Lung Scans" and "Depressive Neurosis, Application to the Courtesy Medical Staff which had been approved by the medical staff for i James A. Crute, M.D. in Emergency Medicine and Howard L. Shaffer, M,D, in otolaryngolo were presented, Dr, Miller announced the schedule for future programs to be presente to the medical staff and that the programs are being directed to relevant topics con- corning the physicians' day-to-day care of their patients. Mr. Moore moved that the two audits be appproved; this motion was seconded and passed by voice vote, Mrs. Willi s moved that the P. Crute and Dr, Shaffer be appointed to the Courtesy Medical Staff with privileges as delineated on their applications; this motion was seconded and pass r ed by voice vote, Mr. Shelton moved that the Board accept the Report from the Medical Staff; this motion was seconded and passed by voice vote. Mr. Watson reviewed the new proposed changes to the Bylaws of the Board of Directors and explained that with the changes, the by-laws should meet all of the ' criteria for the Joint Commission on Accreditation of Hospitals. It was agreed that reference to both the Finance Advisory Committee and Medical Advisory Committee should be deleted since the functions of the Finance Advisory Committee are similar to those of the Foundation and the Medical Advisory Committee's functions are similar to the Medical Staff's Executive Committee, In the event that such committees are needed in the future, they could be formed under the provision in Article V, Section 6 as a special or standing committee, fir. Watson stated that he would have the bylaws re-typed with the changes as approved by the Board; however, final approval of the new y-laws will be deferred until June so that the members can review the corrected copies. Mrs. Fritz reviewed the Monthly Financial Report and the financial statements. She noted that the avpea a daily census for the mor,th of April was 92.5 with a net profit for the month of 3225509. Year-to-date the average daily census was 96,8 with a net profit of $364,269, She noted the improvement in accounts receivable-specifi- cally that 82,4% of the accounts are under 90 days as compared to 79.9 in March, Mrs, Fritz stated that the reimbursement from Medicare will change to 84% after April l and added that Flow had received $21,000 from Medicare this week as partial payment from the cost report. The Bad Debt Charge-Off List in the amount of $73,503 and the Charity Charge-Off List in the amount of $48,493 were reviewed, fir. Hilz moved that the Finance Committee Report be approved, including the Charge-Off Lists; this motion was seconded and passed by voice vote. The minutes of the May Foundation Board Meeting were reviewed by Mr. Shelton, I I He reported that the Foundation members had informally agreed to provide funds for the purchase of the Diasonics ultrasound equipment but had deferred final action until alternate methods of financing can be examined, Mr. Hilz moved that the Board accept BOARD OF DIRECTORS BUSINESS MINUTES na,„ April 24, 1980 r Paye 1 The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 { p.m. Oil Thursday, April 24, 1980 with Mr. A. E. Wyatt, Chairman, presiding. Other I Board members present were Dr. A. M. Finlay, Mr, George Ili1z, Mr. Brad Moore, Mr. Gray Shelton, and Mrs. Mary Williams. Also present were firs. Sid Graham, Mrs, Gloria Madewell, Dr. J, H. Miller, Mrs, Rita Miller (Denton Record Chronicle), and Mr. I.eonar Watson, The minutes of the March meeting were reviewed and approved, IE lk The financial statements and Monthly Financial Report were presented and discusse Mrs. Fritz noted that the average daily census for the month of March was 97,7 and tha excess of revenue over expenses for the month was $100,241, Mrs. Fritz outlined the financial status of the hospital for the first six months' operation, Mr. Shelton asked about the number of days in accounts payable, and Mrs. Fritz responded there Are approximately 60. There was some discussion concerning the effectiveness of the collection agencies utilized by the hospital, and Mrs. Fritz was asked to prepare some statistics concerning this for the May meeting, The Bad Debt List in the amount of $42,817 and the Charity Charge-Off list in the amount of $57,286 wero submittel and reviewed. Mr, Hilz moved that the financial report, including the charge-off lists be approved; this motion was seconded and passed by voice vote. Mr. Hilz reported that the Finance Committee had met with representatives from five auditing firms--Arthur Anderson; Ernst and Whinney; Peat, Marwick, Mitchell, Hankins and Powers; and Ray, Mesch and Company--and received and reviewed their pro- posals for performing the 1980-81 audit for the hospital. Mr. Hilz stated that it is E the recommendation of the Finance CommitV, that the firm of Peat, Marwick, and i Mitchell be engaged for the 1980-81 audit 'c the cost of $15,400 for the audit and i cost report, plus approximately $1,500 far out-of-pocket expenses. Mr, Hi Iz moved that the Board approve this recommendation; this motion was seconded and passed by . ' voice vote, F Dr. Miller reviewed the minutes of the Medical Advisory committee meeting J! and explained that they had recommended that the Board approve the purchase of a Diasonics ultrasound unit. There was some discussion concerning the possible utiliza- tion of such a unit and its priority, Fir. Shelton asked if this equipment is the most needed item for the hospital, and Mr, Watson responded that it is if the hospital in to remain competitive, Mr. Hilz moved that the Board of Directors approve the need to purchase the Diasonics ultrasound equipment subject to the approval of funds from the Foundation. This motion was seconded and passed by a vote of 5 for, 0 against, and 1 (Dr. Finla,) abstention. Minutes from the April Safety Committee meeting were presented and reviewed, { k` There had been a discussion concerning the need for an additional disaster drill i prior to July 1, Also, evacuation procedures are being submitted to the Safety i Committee for approval, Mr. Shelton moved that tho Safety Committee Report be li accepted; this motion was seconded and passed by voice vote, The Utilization Review Committee Report was reviewed, Medicare, Modicaid, and non-governmental admissions and lengths of stay had been ,justified. Mr. Shelton moved that-the Utilization Review Committee Report be accepted; this was seconded U and passed by voice vote. { I' Dr. Miller presented the, Medical Staff Report and outlined the minutes of. the f Executive Committee meeting held on Monday. He reported that the EKG quality study had been completed and that an EKG Committee had been established for self-study and resolution Of any problems. The physicians had been asked to actively participate in the upcoming disaster drill. Amendments to the Medical Staff's Rules and Reggo a - I tions which had been approved by the Critical Care Committee and the Medical StP wwvr~wr+pi*M+s/4ti?NMAkIIYAMa1.kML.wer.M+-~eqhw.+wtMmMwaa-ew..rwwaa.wrwrwww.vwsw.e+wn•n.n..i+~...""~-nom ~Y:..ta~ j. 6 r _ i ,`r, BOARD OF DIRECTORS BUSINESS MINUTES iw- April 24 1980 P2_ were proposed, Dr. Miller explained that the amendments deal with the new Coronary Care Unit and Progressive Care Unit. Mr. Shelton moved that the Medical Staff Report, including the Amendments to the Rules and Regulations, be approved; this motion was j seconded and passed by voice vote, i Dr, Miller presented the following applications which had been recommended by the Credentials Committee, the Medical Staff, and the appropriate clinical department: Silverio Obaldo, M,D., Active Medical Staff, Radiology and Ultrasound; Charles H. i Wahlert, M.D., Active Medical Staff, Internal Medicine; William M, Miller, 11,D,, Courtesy Medical Staff, Emergency Department; Frank T. McGehee, M.D., change from Courtesy Medical Staff to Active Medical Staff, Pediatrics; and William E. Sanders, M. reappointment to the Active Medical Staff, Orthopedics, from provisional status, Mr, Watson explained that Dr. Obaldo had requested privileges in nuclear medicine, and these will be considered after further information is.submitted concerning his training and experience in nuclear medicine. Dr. Finlay moved that the applications from Dr. Obaldo, Dr. Wahlert, Dr. Miller, Dr. McGehee, and Dr. Sanders be approved as per recommendations from the Medical Staff; this motion was seconded and passed by voice vote. Bids from Carpet Max, Denton Floor Covering, and Denton Plaza Carpets to replace the existing blue carpet in the Lobby area, as well as carpeting the Business office were presented and discussed, Mr. Watson stated that the carpets had been carefully selected for their adaptability to hospital traffic and wear, and he suggested that the Stratton Ironsides Antron III Nylon carpet at the approximate cost of $8046 be purchased. Mr. Wyatt reminded the members that the suit against the current carpet is pending, and it is uncertain how much money--if any--will be recovered from the loss Mr. Moore moved that the Board approve the purchase of the carpet as proposed; this I motion was seconded and passed by voice vote. Mr. Watson asked the Board members to consider how to finance salary increases' In the 1980-81 budget, Ile suggested that an increase of either $7 or $10 111 the room rates might be necessary and suggested that such increases in room rates become effective July 1 in order to be able to increase salaries in October. This was dis- cussed; however, there was no action taken. Some concerns had been expressed by the pediatricians and obstetricians regarding the need to increase bed-space in the Nursery and Neonatal Intensive Care Unit. It f " was agreed that an architect would be necessary to determine what space could be remodeled for any expansion. Mr. Watson was asked to secure a list of what equipment might be needed for the additional bed-space and what the total cost of the expansion might be. There was some discussion concerning funding for such a project, including the sale of revenue bonds using the funding from the City and County to retire the bonds or suggesting that the Foundation raise the necessary funds, These possibilitie I will be discussed at a later time, Mr. Watson reported that during the recent "dry-run" pre-JCAH survey, no major assessment factors had been found. Some recommendations were made by the survey team, { and these recommendations are being evaluated and implemented, The Joint Commission j on Accrediation of Hospitals survey will probably be in July, a " Mr. Watson requested permission to attend the Annual Texas Hospital Association Convention in Houston May 25-281 and this was granted, It was reported that the remodeling of the Emergency Room driveway and parking spaces is largely completed, Mr. Watson stated that he has received many favorable comments concerning this improvement, and especially the ambulance attendants seem 3 pleased, i i BOARD OF DIRECTORS BUSINESS MINUTES Dot, April 24, 1980 Page 3 Mr. Watson reported that bids from Gay Roofing, Bell Roofing, and H & S Roofing had been securred for repair of a portion of the roof, specifically 80 squares. He commented that other portions of the roof will need repair, but it is critical to repair these 80 squares in the near future. lie recommended that the bid from H & S Roofing in the amount of $7380 be approved. Mr. Moore moved that the Board approve thi expenditure; this motion was seconded and passed by voice vote. Copies of the revised Bylaws of the Board of Directors were distributed. Mr. Watson asked that the directors review these so that they can be discussed at the next meeting. Activities planned for National Hospital Week, May 11-17 were announced, ine Board members were invited to attend the VIP Luncheon on May 12 to which the City Council and County Commissioners will be invited. Mr, Watson announced that a $1000 contribution had been received from the Beaver Ranch in Sanger. He stated that the check is from a family of a patient who expired recently in the hospital, and the family expressed their gratitude and pleasure at the care given the patient. Mr. Watson reported that the present beeper system within the hospital needs to be replaced because it is very old, unreliable, and forever needing repairs. He reviewed two proposals--one from Motorola and one from Multitone--and suggested that the Board approve the proposal from Motorola at the approximate cost of $9500. He stated that this would include the master station and 20 beepers which would be used by hospital employees both while on duty within the hospital and while on call outside the hospital. Mr, Hilz moved that the Board approve the purchase of the Motorola r I ( beeper system; this was seconded and passed by voice vote. s; The proposal for an on-site 24-hour per day day care center was again discussed, Some comments were made concerning the benefits to the employees if a day care center were provided, and there were some comments made concerning the financial aspect of operating a clay care center and whether or riot it would make a profit. It was agreed by the directors that a detailed discussion should be deferred to a later time. Mr. Watson reported that the x-ray machine in Room 43, Fluoroscopy, is no longer operable as of Tuesday of this week. Ile stated that the machine could be repaired at E a cost of $7,000 or could be replaced at the cost of $93,000, Or, Finlay commented that the equipment is 25 years old, and since 1977 it had been listed within the bud- `r ggots for replacement. He further commented that even with the repair of the equipment it would not meet radiation safety standards, and he therefore recommended that it not be repaired. He suggested that the equipment continue to be listed on the capital equipment needs list and be replaced as funds became available. In the meantime, scheduling of fluoroscopic examinations will need to be altered to adjust to the loss of the machine. Mr. Wyatt asked the Administrator to make a list of all expenditures for which approval is to be requested during a Board meeting and to present this list within the Administrator's Report. ~t I There 'was no further business, and the meeting was adjourned at 9:45 p.m, s tc t Mary. Williams Secretary - gm 11 t..10 _.__.,_....._..T.«w.....«1wA,Y._Anw .AVCJL.~»..,., « 1 1 I I i f Ll j 4 J f` k r i l pis saw t . MAY 2 7 1990 a ` CITY OF DENTON ~ MANAGER'S OFFICE r r r y f: MY2(. tGkWf BOARD OF DIRF70RS The Board of Directors of Flow Memorial Hospital met in regular session at 7;00 p.m. on Thursday, March 20, 1980 with Mr, A. E. Wyatt, Chairman, presiding. Other members present were Dr. A. M. Finlay, Mr. George Hilz, and Mr. Brad Moore. Also pre- sent were Mrs. Wilma Fritz, Mrs. Sid Graham, Mrs. Margaret Lester, Mrs. Gloria Madewell, Mrs. Rita Miller (Denton Record Chronicle), Dr. Arvin Short, and Mr. Leonard Watson. The minutes of the February 28 meeting were presented and approved following a motion from Dr. Finlay. Also, the minutes from the called meeting of March 11 were presented and reviewed. Mr. Hilz moved that these minutes be approved, also; this motion was seconded and passed by voice vote. The Monthly Financial Report was presented. Mr. Fritz noted that the average daily census for February was 9818 with the year-to-date average at 94.7 patients. Met profit for the month was $50,349 with year-to-date net profit being $241,509. She'noted that the reserve fund is still at 14% with no problems anticipated with this amount, There was some concern expressed over the continued decrease in col- lections. Mrs. Lester responded that she is aware of the problems and is working on a solution. Mr,'.Moore suggested that the hospital install credit bureau services equipment which would immediately ckeck the i% comin patient's credit. Mrs. Lester stated that the4usiness Office personnel are able already to determine somewhat the patient's credit standing; and since it is the policy of the hospital to not refuse treatment to patients because of their inability to pay, it was aggreed that the equip- ment would be an unnecessary expense. Mr. Moore also suggested that when patients refuse to pay their hospital bill or default on peyments of the bill hat`thiS:•infor- oration be reported to the credit burear services; Mrs. Lester explained that this procedure is already being done. The financial statements were examined,-as well as the Bad Debt Charge-off List in the.amount of $43,401 and the Charity Charge-Off List in the amount of $43,745. Mr. Hilz moved that the Financial Report, Including the Bad Debt and Charity Charge-Off Lists be approved; this motion was seconded and passed by voice vote. Mr. Moore reviewed the minutes of the now Foundation Board of Directors meeting. He noted that Mr. Shelton, Or, Holland, and Mr. Lea had been re-elected to three- year terms on the Foundation Board of Directors. Also, the present officers of the Foundation were re-elected for, one-year terms--i,eY, Mr. Lea, President; Mrs. Mellon, Vice President; Or, Holland, Secretary; and Mr. Orr, Treasurer. The Foundation had discussed the possibilityy of purchasing a gray scale ultrasound unit for the hospital, and had requested that the hospital's Board make a recommendation to them concerning ' the priority of need for such a piece of equipment. If it is the Board's`recommenda- tion to purchase a gray scale ultra sound, the Foundation members asked that the Board make a decision concerning preference of machines based upon bids and opinions from the medical staff. Dr. Finlay moved that the Foundation Report be accepted; this motion was seconded and passed by voice vote) The minutes from the Safety Committee were read by Mr. Watson, He noted that the Safety Committee had reviewed, revised, and approved the hospital's Disaster Plan. Mr. Moore moved that the Safety Cormnittee Report be accepted; this motion was seconded and passed by voice vote. Mr. Watson reviewed the Utilization' Review Committee's Report. Ninety-five Medicare, 15 Medicaid, and 22 other cases had been reviewed and justified for admission, Thirty-one Medicare and 2 Medicaid cases had been reviewed and justified for extension of stays. Mr, Moore moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote, ' 'I DIY ~1„,g ~ .YYII•i1. IYII..D 1. •I.YY. II. iv1. _~..a_.....~... N.uM q. e.. rrY.YL ~r BOARD OF DIRT=crms ` J''! I .:J l :I;•il M,11'01 ;?0' 1.4;30 In the absence of Dr. Miller, Dr. Short, Vice President of the Medical Staff, gave the Medical Staff Report. He reviewed the minutes of the Executive Committee a, explained that Dr. E. J. Flynn had requested reinstatement to the Medical Staff with his privileges changes from surgical to emergency medicine. He commented that the Institutional Review Committee had approved the protocol for the participation in the clinical investigation of the new HICA tin kit for use in preparation of Hepato-Scan (Technetium Tc99m HIDA)r An updated listing of symbols and abbreviations had been presented and approved. Dr. Finlay moved that the Medical Staff Report, including the change in privileges of Dr. Flynn, be approved; this motion was seconded and pass- ed by voice vote. Mr. Watson reported that an'engineer from the City of Denton had reviewed the Emergency Room driveway and had staled that he would design the improvements essentia the same as.the drawings;submitted by Denton Construction Company. Mr. Moore moved that Denton Construction Company be awarded the bid in the amount of.$13,649 to revamp the Emergency Room driveway, including the addition of 10 parking spaces. Thl motion was seconded and passed by voice vote. Mr. Watson asked that consideration of the storage building be deferred until he has additional information and bids, Dr, Short briefly explained the new Quality Assurance Program which is being started at-Flow.Memorial-Hospital. He stated that this new program will essentially replace the numerical medical audit requirements of the Joint Commission on Accredita- tion of Hospitals. The QA program will be directed toward problem identification any problem solution, and reports of the QA activities will be directed to both the Medit;, Staff and the Board of Directors. Mr, Hilz moved that the Board of Directors delegat authority to the Administrator the responsibility for the Quality Assurance program; this motion was seconded and passed by voice vote, ; Mr. Watson suggasted that the capital equipment needs be incorporated into the new 1980-91 budget and explained that improvements will need to be made in order to remain competitive. He stated that the Medical Advisory Committee will be asked to evaluate the items listed on the capital equipment list and prioritize the need for the equipment. There,,was'.aldiscussion concerning the need for a, gray scale ultrasound unit j, and whether or not the Board would want to recommend that the Foundation consider purchasing this equipment. Dr. Short stated that the addition of the unit would upgrade the medical care at this facility.. Dr. Finlay stated that he felt the unit would make a profit for the hospital and estimated what the utilization of the unit might be, Mr, Wyatt suggested that the Medical Advisory Committee be asked to conside the need for this equipment. If they agree that it is a high priority item, then Mr, Watson could ask for bids on the unit. The Board members agreed with this sugges- tion and will wait for the recommendation from the Medical Advisory Committee before making a decision. Mr. Watson announced that Macional Hospital Weak is May 11,17 And announced some ' of the planned activities. One possible activity may be a joint Ciey_County luncheon. There was a discussion concerning employing a new audit firm to perform the hospital's audit, It was suggested that Ernst and Brost; peat, Marwick, Mitchell; Hankins and Powers; Arthur Anderson; and Ray, Mesch Auditing Firm be contacted. Mr. ;lilz agreed that the Finance Committee should be responsible'for studying the ! possibilities and making their recommendation to the Board of Directors. _ . ..Y eu o.n Ar_.N . i BOARD OF DIRECTORS << l1U~lilkSS MINIJi'~5 March 20. 1930 P 3-. _.1 Mr. Watson proposed that the carpet in the Lobby be replaced. He reminded the I Board members that the problem with the present carpet had been turned over to an attorney for resolution some time ago with no settlement as yet. He had contacted the attorney and asked if it would be detrimental to the hospital's case to replace the carpet before settlement, and the attorney assured him that there would be no problem as long as the carpet is stored so that it can be examined again if necessary. Dr. Finlay moved that at least two bids be solicited for replacing the carpet and report back to the Board in April for consideration at that time. There was no further business, and the meeting was adjourned at 9:05 p.m. Mary Henderson Williams Secretary gm . J. k M F. I I 6 44 ' ~ •,N11HpNY BIfNA,Ln NI,MYY IIIINOIY ~ 1. , IoYY e.ete `s - Y , AUTHORITY FOR QUALITY ASSURANCE PLAN The Board of Directors of Flow Memorial Hospital shall delegate to the Administrator, as its direct representative, the responsibility for the program, and for assuring the Directors that the quality of patient care is the highest achievable, by demonstrating performance which is consonant aoith pre-established standards, The Administrator shall, in turn, delegate the } quality assurance function to a multi-disciplinary hospital committee, with t' representation from Medical Staff, Nursing Service, Medical Records, Administration, and other departments as appropriate. Each member shall be a voting member of 4 the comnitt"le, lr APPROVED; ^ - 8 „ Date t Chairman, bard of Directors i rj r i'iol p ' ~ _ ..._...-...~®w,.+....weun wwoss.w~•rrwww+M.l~wwwnw+wwe.n 1 BOARD OF DIRECTORS "CALLED" MEETING f-°-- age I r BUSINESS MINUTES ud+. March 11, 1980 _ The Board of Directors of Flow Memorial Hospital met in a "called" session at 12:15 P.M. on Tuesday, March 11, 1980 with Mr. A. E. Wyatt, Chairman, presiding. Other Board members present were Dr. A. M. Finlay, Mr. George Hilz, Mr. Brad Moore, Mr. Gray Shelton, and Mrs. Mary Williams. Also present were Mrs. Gloria Madewell, Dr. J. H. Miller, and Mr. Leonard Watson. Mr. Wyatt reminded the members that the meeting had been called to consider several capital expenditures. Information and justification for the expenditures had been mailed to the members prior to the meeting. Specifically, the items to be con- sldered were: level and stabilize cooling tower ($14,896); improve the emergency entrance, exit, and parking ($13 649); storage building ($25,000); fetal heart monitor ($80000); 4 anesthesia machines $22,000); 3 cardiac monitors ($7,800); and 2 folding partitions for Dining Room ($2,000). 1 Mr. Watson announced that he had requested the City of Denton to make their { contribution to the hospital in one check, instead of the usual quarterly checks, and that this has been received in the amount of $99,563. He suggested that this I money could be used to purchase the equipment to be considered or that the money he i used as back-up for a loan to purchase the %500,000 worth of equipment which is needed in 1980. The proposal to improve the emergency entrance driveway and parking was discussed. Bid estimates had been received from McCarty Construction Company ($19,220), Calvert t Construction Company ($21,629), and Denton Construction Company ($13,649). Mr. Watson explained that the bids had been based on specifications drawnby Denton Construction Company. Some Board members suggested that some alternate design might be better. 1 Mr, Shelton moved that the Administrator contact the City and County and request their civil engineers to evaluate 'the situation and prepare alternate drawings if needed. 1 This motion was seconded and passed by voice vote. Further bids would not be solicited until after any new drawings are examined and approved by the Board at their next meet-- ing. Mr. Watson added that he had contacted County Commissioner.Bill Switzer about the possibility of the County assisting in construction of the driveway and parking spaces, and Mr. Switzer had stated that he felt that the County did not have the equip- ment for such a project, except possibly for putting in the base for the parking spaces Attempts at contact ng the City regarding assistance with this project were unsuccessfu . E The proposal to level and stabilize the main cooling tower was discussed. Bid estimates had been received from McCarty Construction Company ($18,435); Calvert Con- struction Company ($200372); and Denton Construction company ($14,896) with identical specifications. Dr. Miller stated that he felt that the Medical Staff would favor the repairs to the cooling tower so that adequate air conditioning will be possible during the summer months. Dr. Finlay moved that the contract be awarded to the Denton Con- struction Company to level and stabilize the main cooling tower at a cost of $14,896 s as the lowest and best bid and that the Denton Construction Company be encouraged to expedite the repair of the cooling tower with the provision of a 10 year warranty. This motion was seconded and passed by a voice vote. The proposal to purchase a storage building was deferred until additional informa- tion and bids can be obtained, rIr The proposal to purchase a.f9tal heart monitor for Labor and Delivery was discussed Mr, Watson expplained that there is currently one fetal heart monitor in Labor and Deli- very, and at least one additional one is needed. Dr, Miller added that the current fetal heart monitor is in use almost constantly and there are many instances when f additional ones would be used if available, Mr. Shelton moved that the Board approve the purchase of the fetal heart monitor at the cost of $8,000, this motion was seconded and passed by voice vote! s . ......~e.......«.. •.nnuru rrM.n rn. 41 0.14 WWII BOARD OF DIRECTORS _ _ - - _ -BUSINESS MINUTES Dale March 11,1980 The proposal to purchase 4 anesthesia machines at the cost of $22,000 was discuss Foraneincreasehf~ont the a origina~Oestimataro~t, ad. Mr.reger. ($24,Watson stated thatmbids had been rise ( 000 ach $22,000. He no ted that Dr. Love and the anesthetists are reviewing the bids and will ' make a selection later this froweek. m either r. Shel OhiooMedicaltCompanyaor Forreger h thpsrchas of four anesthesia machine motion was seconded and passed by voice vote. iac monitors Room the disc Then stated thatUDr. Love anddthe anesthetists have0approved the selects nuofethe;i Mr. Watson s equipment at a cast of $7,800, Mr. Shelton moved that the Board approve the purchase of the three cardiac monitors at the cost of $7,800, This motion was seconded and pass' ad by voice vote. pp The proposal purchase Watson statedgthatttheowallobetweennithegSmall andtLargest of $2,000 was discussed, h to a private Dining Rooms would additionalepartitionfwouldgbeainstalled atfonedend}of0the private dining room. Main Dining Room so that a portion of the room could be used as meeting space, The Board approved the purchase of the partition for the Main Dining Room but decided to defer action on the smaller partition until a later time. Dr. Finlay suggested that the Board adopt some formal procedures for approving purchases. He was asked to review what procedures might be required and to report back to the Board. Suggestions for paying for the equipment approved to be ordered were made and Sincemtheyeqreceived from uipment Cbeityreceivedshould 60 discussed. iq was elt that for the new equipp days with payment due to the vendor 30 days after receipt, it was felt that the money y should be deposited where it could gain the highest rate of interest during the interim 90 days. Mr. Moore moved that a $100,000 money market security be purchased from a ban within the icetvotee. Mr. Mthe ooreistatedithat he felt. This passed by voo 144% interest rates this week. There was no further business to be discussed, and the meeting was adjourned at I 1;30 p.m. Y ( , Mary Henderson Williams Secretary ti gnu i-' 1 i I .~sez i r wpa- N6 BOARD OF DIRECTORS BUSINESS MINUTES oat. ` L== / Februa 28, 1980 - - Pe9e 1 The Board of Directors of f=low Memorial Hospital met in regular session at 7;00 p.m. on Thursday, February 28, 1980 with Mr, A. E. Wyatt, Chairman, presiding, Other Board members present were Dr, A. M. Finlay, Mr. Brad Moore, Mr. Gray Shelton, and Mrs. Mary, William;, Also present were Mrs. Wilma Fritz, Mrs. Gloria Madewell, Mr. Jim Grant Mr, Leon,;rd Watson, Mr. Rance Cotton, Mrs, Rita Miller (Denton Record Chronicle), and Mr. Frank Thompson and Mr, Toby Thompson from Denton Construction Company, The minutes of the previous meeting were presented and approved, following a motion i from Mr. Moore. Mr, Wyatt introduced the gentlemen from Denton Construction Company and asked them to explain their presentation. A proposal to straighten the cooling tower was explained and detailed. Mr. Thompson added that the tower has settled two additional inches to the northwest curing the past three months. He stated that he could straighten the tower with completion of the project in 3.4 weeks at the cost of $14,896. He added that he could guarantee the work with a ten-year warranty, Another proposal was presented by Mr..Thompson for improving the Emergency Room entrance driveway, Mr. Thompson explained that he would build a circle-through driveway and create parking spaces for visitors, vehicles {10 spaces). The project would also include the construction of two retaining wails and would cost $13,645. When asked about the possibility of including steps from the parking spaces to the ER entrance, Mr. Thompson stated that he would include the step at no additional cost-.if both the tower and driveway contracts were awarded to him at the same time. No further information was requested from the engineers, and they were excused from the meeting. There was a discussion concerning the benefits of both pro jeets, and the Board members agreed that both projects merited their action. Howaver, since onl one bid had been obtained, the Board bids ba obtained for both projects. If no furtherbids cane betobtained,ethetmembers requested that refusal-to-bid letters be obtained instead, or refusal-to-bid letters should be received prior to the MarcIt was h Boardgmeetingasotthatids action can be taken at that time, 4 sugggestion was made that the County Commissioners be contacted about the possibility of Denton County re-building the Emergency Room entrance driveway. Mrs, Fritz presented the Finance Committee Report. She announced that the average daily census for the month of January was 100 which is the highest census since January 1974, January ended with an operational profit of $33)901 and a net profit of $57,190; year-to-date operational profit is $77,898, and net profit is $169,818, The hospital's cost containment program continues to be successful in that since January, 1971 with an increase in census of 40.8% and revenue per patient day of 27.4%j ex f per patient day have only increased 4%. Mrs. Fritz reported that the $40,000 moneySes market security matures on March 70 and the Board members agreed that this should be re-newed. Mrs, Fritz reported on the action taken on the audit comments made by Touche Ross and Company; no further recommendations were made on the audit comments, The Board members a reed that it is time to seek another audit firm to prepare next year's audit; this decision was based on the concensus that it is a good policy,to change auditors every four to five years. It was suggested that at least the followingg firms a be contacted; Ernst and Ernst, Arthur Anderson, and Peat, Marwick, Mitchell. Aftor proposals are received from various firms, the Finance Committee can study the proposals + and report to the Board of Directors their recommendation. There was some discussion concerning the decrease in collections, and the Board members agreed that this problem should be carefully analyzed with appropriate action taken to improve the situation, ` Bad Debt Charge-Off List in the amount of $53,427 and the Charity Charge-Off List in then amount of $34,642 were reviewed, Mr. t w approved in its entirity; this motion movedndedtanhat passednbycvoice votee'Report be f Mr, Watson reviewed the Utilization Review Report. He stated that Medicare, I Medicaid, and non-governmental admissions and lengths of stay had been reviewed and ,justified. Mrs. Williams moved that the report be accepted; this was seconded and passed by voice vote. . ,xurnurnttew ce„et,rrn,uu.eu I 1 - S BOARD OF DIRECTORS BUSINESS MINUTES o.r. February 28, 1980 p4a 2' ( The Medical Staff Report was presented by Or Miller, who reviewed the minutes of the Executive Committee and Joint Medical Staff Meeting, He reported that Dr. Ed Riedweg and Dr. Mary Smith had submitted their resignations from the Medical. Staff because of changes in their practice of medicine. Dr, Miller reviewed proposed changes l in the Medical Staff's Rules and Regulations concerning the Intensive Care Unit, which f` had been approved by the Medical Staff. He stated that the changes are necessary now that the coronary patients are being separated from the Intensive Care Unit. The applications to the Medical Staff from Robert A. Bright, M.D., Pathology and Mark Z, Kardum, M.D., General Practice were distributed, and Dr. Miller explained that these were recommended by the appropriate departments, the Credentials Committee, and the Executive Committee of the Medical Staff, Dr. Miller proposed that the Board consider providing ambulatory/dormitory care for pre-natal obstetrical patients. He explained that there are some cases in which a pregnant patient should be hospitalized several weeks prior to delivery with only minimal care required, He suggested that such hospital,., ization should be at a reduced cost to the patient since only minimal care would bd necessary. He explained that such a program should decrease the number of distress,, newborns and thereby provide a savings to the hospital. He added that a similar prc had been initiated at Parkland Hospital with great success. Dr. Finlay suggested th,i the obstetricians and pediatricians study this proposal and estimate the number of beds that would be needed for a program and report back to the Board of Directors. It was l~ agreed, however, that in the meantime, Mr. Watson could make adjustments to provide this service if space is available. Dr. Finlay moved that the Medical Staff Report be accepted; this motion was seconded and passed by voice vote, Dr. Finlay moved that Or. Bright and Dr. Kardum be appointed to the Active Medical Staff with privileges as i C requested; this motion was seconded and passed by voice vote. Dr. Finlay also moved that the changes in the Medical Staff's Rules and Regulations be approved by the Board; this motion was seconded and passed by voice vote. Dr. Finlay moved that the Flow Memorial Hospital Personnel Policies as submitted by mail be approved without change; this motion was seconded and passed by voice vote. Mrs. Williams moved that the Bylaws of the Board of Oirectors of Flow Memorial Hospital as submitted by mail be approved without revision; this motion was seconded and passed by voice vote. Mr. Watson reported on his recent American College of Hospital Administrator's II Congress held in Chicago and highlighted the topics of discussion. } A proposal from the Texas Department of Community Affairs and the Denton Family f Center to provide a Prevention Assessment and Support Services (PASS) program at Flow Memorial Hospital was reviewed and discussed. Mr. Watson explained that this program would be for seventeen, months and would include patient teaching to the parents of c premature babies. The program had been approved and recommended by the pediatricians. Dr. Miller stated that the patient should have the right to refuse to participate in the Program, however. Dr. Finlay moved that the Board of Directors approve the participation in the PASS program and authorize Mr, Watson to execute the contract with the Texas Department of Community Services and the Denton Family Center for this service, Mr. Watson stated that thispprogram would require no funding from the hospital. This motion was seconded and passed by voice vote. A listing of capital equipment needs for the years 1080, 1981, and 9182 were d1s- t tributed, Mr.' Watson asked the members to review the list so that it can be discussed ( further in March and so that means of funding the purchase of the equipment can be explored. The meeting was adjourned at 9:45 p.m. for an Executive Session to discuss personnel matters, i MHNItl. 1.1. ' /.lV 118 0 .eHItIN4 AICOAI CO,lfAM.eIIIN OII . ................•...~.nMewy.4liIWiY.IJYlId1.Yq' ! BOARD OF DIRECTORS BUSINESS MINUTES Dale Februa 28, 1980 va9. 3 At 10;10 p.m. the Board of Directors met in Executive Session pursuant to Article 6252»17, Section 2 (g) V,A.T.C.S, a The Board of Directors reconvened to act upon the expired contract for anesthesia services, Mr, Watson reported that a satisfactory agreement had not been received from Dr. S. T. Love as Director of Anesthesia Services, Mr. Shelton moved that the Board of Directors request Mr. Watson to seek alternate methods of providing the anesthesia services. This motion was seconded and passed by voice vote. Mr. Watson reported that the contract with Dr. B,.P. 1lttle for providing Emergency 3 Room physicians expires March 1. A proposed new contract has been received from r Dr. Little in'which the hourly rate has been increased from $23.00 to $26.15, Mr, Watso stated that the physicians have recently adjusted their charges to the patients which better match the service--e.g., a five-minute examination will have a smaller charge than a cardiopulmonary resuscitation taking 45 minutes. This increase in the charges should compensate for the increased rates, Mr. Watson explained. Dr. Finlay and Dr, Miller agreed that the service provided by Di-, Little's group is satisfactory, Dr. 1710 moved that the Board of Directors approve the contract with Dr. Little at the rate of $26,15/hour. This motion was seconded and passed by voice vote. The meeting was adjourned at 10:20 p.m. i Mary Henderson Williams 1 r Secretary r. gm i } t r,llr I ^It E ~ r f r Illt P pn f hr~ i~ I owl A, C i M /j. ~q P i 1 1 } 1 f4 i j i~ 5 / t rlaam i MAR 24 1980 ~ ! CITY a a YOB MANAGERS OFFICE .Y ' µ lI! ~ NYlx Y1, d \s BOARD OF DIRECTORS BUSINESS MINUTES oat, July 22 1982 Pago 1. 1 The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p,m. on Thursday, July 22, 1982 with the Chairman, Mr. Wyatt, presiding. Members resent: Also present: Mr, Ralph Havenhill Mr, Dan Trammell Mrs. Wilma Fritz Mr, George Hilz Mr. Leonard Watson Mrs, Gloria Madewell Or, Don Holt Mrs, Mary Williams Dr, Roger Nunn Mr. A. E. Wyatt Members absent: Mr, Brad Moore The minutes of the previous meeting were read and approved. Old Business: Vacancies , In Anesthesia and Radiology--The Administrator was asked to report on the sha us -of tN e vacant es or a rec or of Anesthesia and a full-time radioiogis . He stated that not having a radiologist at the hospital on a full-time basis has caused some delays in patients having the procedures and delays in interpretations. This, however, Will be closely monitored and if necessary another radiologist will be sought, The Administrator also stated that the vacancy in the Director of Anesthesia position has not caused any problems so far in Surgery; however, he expressed his F optimism that an anesthesiologist will be securved within a couple of months, New Business: ` Financial Re ort--The monthly financial report was given by Mrs. Fritz, who also reviewed e uncial statements and charge-off lists, She reviewed the status ` of current loans and investments. With the average daily census of 82,9 for the month, there had been an excess of expenses over revenues of $25,840. The percentage x of collections to revenues was discussed, and Mrs. Fritz stated that this is being 711 closely monitored since it has decreased to 83% for year-to-date, It was sugggestad that another collection agency be tried for collecting delinquent accoants, he profit margin for Home Health Services was highlighted. Mr, Hilz moved that the f financial report, including the bad debt charge-off in the amount of $80,444 and the gg charity char a-off in the amount of $22,460 be approved; this motion wau seconded and a` passed by voice vote. I Foundation Report--Mr. Havenhill reviewed the minutes of the July 8 weeting of the Foundation. He noted that the Foundation had been successful in being removed from the Collins v, Flow Hospital, at al pending litigation. Mrs. Williams moved that the Foundation Report be accepted; this motion was seconded and passed by voice vote. Safet_v_Report--The minutes of the July 2 meeting of the Safety Committee and a summary report of incident reports were reviewed, Mr. Watson reviewed the proposal to improve the safety of the helicopter landing site; action will be delayed, however Mr. Havenhill moved that the Safety Report be accepted; this motion was seconded and passed by voice' vote, Utilization Review Report--The June 22 minutes from the Utilization Review/ MedicaIReGuro _ ue -Irransfusion COW ttee'were presented and reviewed$ Medicare Medicaid, and non-governmental admissions had been reviewed, as wall as Medicare and s Medicaid extensions of stay, Mr. Havenhill moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote. f Medico_Stoff Report--Dr, Nunn roviewad the minutes of the Julyy 19 meeting of the Executive Comm ttee of the Medical Staff, He stated that ,they had discussed the possibility of Flow establishing alternative delivery policies, including a birthing I BOARD OF DIRECTORS J BUSINESS MINUTES Dale July 22, 1982 P690 2 ~I center, The application from Charles Hopkins, M.D. for appointment to the Active Medical Staff with privileges in orthopedic surggory was presented with the recommen- dation of the Executive Committee. Mr. Havenhill moved that the Medical Staff Repor be accepted and that Dr. Hopkins be appointed to the Active Medical Staff; this motion was seconded and passed by voice vote, , JJC~AHHSuryey--A summary of the Summation Conference conducted at the close of the survey _by tho Joint Commission on Accreditation of Hospitals was presented and reviewed. The only significant deficiencies noted in the survey had been with the Medical Records Department. B_irt~hina Center--The Administrator explained that the Executive Committee had recommended that a new obstetrical service be offered at Flow to include a birthing center. He explained that two of the rooms on the Post Partum floor could be modified to provide this service. Two of the obstetricians and one pediatrician on the medical staff are scheduled to visit a birthing cantor in Chicago to learn more about the operation of such a center. Mr, Watson stated that the new service could be offered at the cost of under $5000 for remodeling and new furniture. The Board of Directors agreed that this new service should be provided for the patients requestingg it, Mr. Havenhill moved that the Administrator be authorized to investi- gate and initiate the birthing center service at a cost not to exceed $5,000 if approved by the physicians involved, This motion was seconded and passed by voice vote. Mobile CT Scanner--The Administrator reported that the Texas Health Facilities Commission should notify the hospital within the next couple of months concerning the r certificate of need filed for the mobile CT scanning service, e -There was a discussion concerning out-patient surgery and how the -mtb of Westgate's out-patient surgory program and the newly-opened Surgi-Center at the Medical-Surgical Clinic would impact the out-surgery being done at Flow. The Administrator reminded the Board members that new flat-rate charges had been approved last year by Blue Cross for out-patient surgery; however, the charges. were not implemented, He suggested that they be implemented now so that the hospital can remain competitive. This was further discussed, Mr. Havenhill moved that the Board approve the initiation of the flat rate charges for out-patient services as soon as possible; this motion was seconded and passed by voice vote. I r New Ph sician Orientation and Welcome--The Administrator suggested that a dinner j meeting a panne for all ew`physicians to introduce them to the Board of Directors some hospital policies, and medical staff regulations. Such a dinner could be i scheduled on a quarterly basis so that all new physicians are properly welcomed to Flow. This was approved, and the first dinner will be planned for late in August. PXopos_ed Professional Office Buildin :-A letter from attorney William Philips reporting on V10 1t1Q seared of the p~ oparty and the legality of the hospital enteri Into a partnership with physicians as limited partners for a medical-professional u building, Mr. Philips indicated that it might be illegal for the hospital to enter in to such a partnership, The opinion of the Attorney General submitted in 1977 indicati g that it would be possible for the hospital to lease land adjacent to the hospital for ' construction of a medical office building by private individuals was also discussed, t, It was suggested that Mr. Trammell contact County Attorney Jerry Cobb about' requesting an opinion of th,o Attorney General regarding the partnership question; ,also, that a ' meeting be scheduled next Thursday evening with representatives of the HBE Corporation to discuss their proposal to i,rild the building and find the investors for it. 3 There was no further business, and the meeting was adjourned at 9:30 p,m9 m Dan Trammell, Secretor _ _ 1 uU DATE 7/30/82 'ITCl5: F L 0 W -M R M 0 R 1 A L H 0 8 P d T A L PAGE BAD DEBT TRANSFER REPORT FOR PERIOD 7/01/82 THRU 7/31/82 ^ pp aa ;^I PPf%ENTNUMBERR 4/A+ADDR, CITY, ST, ZIP rrr _Y 4e*eADDR, CITYN87AM8 ZIP*** ADMITTCD DI8CHARGED WItTTEOFF OFDA~CCOUNT ~ V 101 368330 ALLEN , DENNIS ALLEN DENNIS 1/17/82 1/20/82 7/29/82 1389.30 L)!1X 421 BOX 421 LAKE DALLAS TX 76066 LAKE DALLAS TX 76065 Unable t0 locate, 20t 410840 AMAD , MOHAMMED AI~AD . MOHAMMED 9/31/82 7/29/82 38.00 'J 363 W OAK M4 1 23 W OAK 04 ,J DENTON TX 76201 OHNTON T% 76201 k No response to collection'efforte. 201 397305 A'IINOER RONDA A IN ER RONALD 4/20/82 7/29/82 an,Oo IrtTGIITI a 8 ACORN RAN IYXM 7E 201 L~W28VBOX 156 TX 75065 No response to collection efforts. ! 201 397497 RYINOER TAYMA AVINOER RONALD 4/20/82 7/29/82 36.00 Ir. 1 BOX 8 ACORN RA CH M RT, pX 156 DENTON T' 76201 LEWIMLLS TX 70065 No response to collection'6fforts. 201 360743 PAILEY Wi LLY BAILEY HANK 12/20/81 7/29182 121 RO J Iii l (D% 27A RT 1 BOX 27A AVOrEY TX 76227, AVBREY TX 76227..`. No response to collection efforts. - I 3 317073 OAKEN ANITA RAKER ANITA W t1/S1 7/29/82 2^15.18 } i KRUN BOX 1620 TX RT I Box 1620 76249 K RUM C M TX 76249 Hovedl left no address. v i .1 201 3b3830 AK RR FRED DAK N bRFRED 1/01/92 7/29/82 78.00, ~l 103 FT WORTH DR 21 103 FT 4JORTH DENTON TX 76201 EN ON TX 76201 No response to 'Collection efforts, 201 346136 BALL RD FLORA RALL RD FLORA 11/05/91 7/29/92 25.60 IIT: BOX 228 HT: C BOX 228 AVON Y TX 76227. AVBREY TX 766127 No response to CO1.laCtlOn.effOrtS. j i 201 357691 TARWEe GERALD BARNE8 GERALD 12/06/81 7/29182 36.70 r 00 KENOS MANOR 1 03 KINGS MANOR LAKR DALLAB TX 70068 LAKE DALLAS T% 75060 NO response to collection efforts, Vol 346965 pp~RNETT DEBRA BARNEIT CHARLES 11/11/pi 7/20/82 174,05 ` {7 5 80X 89 BILVERDOME MH 9p0 MnnNTB:REV 1 ' A'ENTON TX 76201 UNTON TX' 766201 No response to collection efforts, r• i 202 1736,70 VARREgH[r THOMAS BARREIT THOMAS 12/19/81 7/29/82 265.00 T°0 CNINN CHAPEL. 730 CHINN CHAPEL ' I LMWSVILLE TX 75067 LF.WISVILLE TX ' 75067 iA response to collection efforts, balance after J i 101 364406 BECK JACOUE BECK JAMCB 1/06/82 7/29/82 1811.65 NO VINBtlNV[LLE 120 V[NSONVILLB ~ P~iNTpN T% 76201 pSNTON TN 76201 r 207 147124 of.r$14 9E PATTY BECKRO8E PATTY 12/07/81 7/29/92 276.75 1 ' yy P14TON TX 76201 DENTON TX 76201 No response to colloWon'efforts. t l I tit I. j i f i 7 I r,r it - _ .....-...~......_......-.r-.--.. 'r .~fl. I' DATE 7130102 11t15. P 70 W M E M 0 R.I'A L H 0 6 P I T A L PAOE;' ,2 rr.~xe.,. ,sarYrp DAD DEDT TRANSFER REPORT FOR PERIOD '7101/e2 THRU 7/31/02 PpFffENTNUMBERR aaa*ADDR, CITY~AST,4ZIP aaaaADSR, ClTY#0t IPaaa ADMITTED DISCHAROED, NR17EOpp OFDAACCOUN1T ' 201 396295 DGLLAR JERLMY bELI.AR , RONALD 12/02/81 7/29/92 20,50 1, 343 AT 2 D OX 343, RT2 AUDREY Tx 76227 AUDREV T% 76927 No response t0 collection efforts. f 201 3DO705 DOLLAC RONALD ➢ LLAR RONALD 12/11/91 7/99/82 40.00 0", 2 F R ➢OX 233P t l~ At'17R V 'TX 76227 AUDCEY TX 76227 NO response to collection efforts, 202 300632 DE9 11i7 MARION 8EhEY MARION 6/16/81 7/29/82 180.75 1.;4C7 A0UC OR 14407 HAOUE DR b!'L.LAS TX 75234 DALLAS TX 75234 NO response•to collection efforts. - I 101 352369 pLANJ FRANCF9 D No FRANCES 1/17/82 :/05/82 7/29/82 3621.90 S^9 E MCKINNEY 9v g MCKINNEY Z~ PCNTON TX 76201 p TOgNNNggHH TX 76201 - NO response to ;collection efforts, 1 204 133629 $41N`KENSHtP APT 202EDDIfi 2311 97ELLA APT 26 EbbIE 12/26/81 7/29/82 46.29 STCLLA FLN70N TX 76201 O NTON TX 76201 NO reSponSe t0 C011OCtIOn efforts. + s~ l 370742 0 IN JOHN JR gpL 9 JOHN JA 3/18/02 7/29/82 1647.46 It'1CO CRAWFORU CT PO 8X Q14SQ3 RKE DA LAS TX 75065 D L4 TX 79291 No response to collectioe efforts,- ' yn~ 201 360834 ~,RANNANN, APT 3 ' CHRISTOPHE ANCH APT g KENNETH 19/20/81 7/29/87 70 90 ~ DONTON Tx 76201 70N TX 76201 No response to collection efforts. A., 1 I1 201 330001 GR gyp} RIICK KELLY gpRAUyDRSCp WANDA 9/06/81 7/29/82 91.35 RCANOKOH r7HP TX 76068 DA ONT NORTH DR 050 TX 76202 NO response to co11ec4i9~;BffPrtS,• , „ 1,r 1 201 362202 ggRp!U~DRRICK LAWANDA ppRAAUORICK KELLEY 12/,29/81 7/29/82 123.30 1 C!'~~17gR POINT MHe P tl BOX 1343 w i c DC: AN TX 76901 'DENTON' " TX -76201 No response to Collection effort44 r :I q 2 72033 PRT E COLETTA ONE 6/i1/e1 7/29/92 120.10 cq L3 MORSE I 296 TWIN LAK TX 76201 DRDN g% 7% 08N ON MH P,76201 NO reSPOASB t0'.CO1lection efforts,'' 3-•,'., 1 7 a 201 361543 DRO K OANOEH DROCK JACK 12/23181 7/29187 300.00 1 109Cp CHARLES N2p2 VI NVA 1.090 CHgReg N222 ~s1r LEWISVILLE TX 75067 LEWtoVILL TX - 75067 NO response to:,CO11oction,.6fforts, i1 101 183372 DAD IJ 255 Nrr ARNOLD Suw" ARNOLD 3/07/S7 3/13/192 7/29/82 1078.95 , qqT tlx 2 BO% 255 NCL fiC' TX '16748 KBLLEN :TX -76249 NO response t0 collection-effortso fL 102 360115 rAtN MARTIN ?AtN RALPH E 1/l1/92 I/19/e2 7/29/19.' 2989.55 J 10~a T 109 114 AVE f M t2? t U N tlNUDDELL AP -T% 79201 D N, { -TX '76201-- Unable t0 loCete'v=,,r': vr+ rn r 1 J i ON, 7 711.1 7.17 17 1 11-7. 7. 11t , • 1 t° G. r ivJLJ DATE 7/30/02 11!18: F L O W °M !E M 0 q I-A L H 0 8 P I T A L' PAGE ;•Or mP17.7 .f~ N DAD DEBT rRANSFRR REPORT FOR PERIOD 7/01/82 THRU 7/31/02 ; I ~ y;r.,..,.. , 4 PATIENT NUMAggH ♦arMy PATIENT NAHE ~a►~t alnrr GUARANTOR NAME Xwxa' DATE 'DATE DATE OF BALANC 1^?1 PF% NUMBER ADDR, CITY 9T, ZIP ADDA, CITY,ST, ZIP _ ADMITTED DISCHARGED WAITED F_F_ 2 OF ACCO NT . " w 1 13 5616 W OAK N209 205 R 347708 CH D00VER 0 JOHNNY CHANDLER OAT% 420 4/04/02 7/29/82 717!1 30 DGN TX 761210 DENT NC7 7 1 -'_1-yo ,response to°collect!on!effortS, - 202 231258 CLqM KENNETH CLEM KENNETH 5101/87 r 7/29/82 73,00 11 c 0 ARDIkAL NC7 710 CARDINAL D(ENr N TX 76201 DENTON TX s 76201 Unable tO,locate, 201 390982 EpPrMAN RUDSEU C¢PFMAY , NUSSELL 4/24/8: 7/49/82 78,00 iG2,1J1 STELLA OR APT 107 1LOTI 8 ELL DR APT 1077 DEN ON TX _ 76201 17BNdN 79'gtj76201 - :Moved{ loft no address r. SOl 274621 COIN JIM COIN JIM 3/14/81 .3/16/81 7/29182 317.00 0 9TH pp BANGER TX 76266 9AN0FrR 7X 76866° NO r89QOnSe t0 •CO1lectfOn•AffprtS, : ...4 202 300170 D/V~S PHILLIP DA~~//I(B BARBARA 9/20/02 7/29/82 74.50 1 0 1/2 CREBCHNf 09 1/2 CRESCENT J CR N`dNdX 354 TX 76201 UNTON 35 TX c76201 MOVOdl left oo address. i E~ 2201 401646 FULLERRp ORCG FULLER LINDA 9/02/82 1!29/02 $0.45 IL i A110YL6 AN 76227 HAT I Box UGCAtI.,ybit27 r Unable to locate 101 308090 HAO Appo g q ppD ppEAN 3/26/82 3/31/82 7/29/02 2173.20 RT DpX 60 DTN EBTAT 9UE8 RT BOX 60 DTN E0TAT6gg y PENTON TX 76201 DBN ON 1k 7620.1 - a r - 201 380090 p[10QAR D AePUSOd tO.Pay. v " B SUSAN HAGGARD AN 3/20/82 7/29/82 106.00 T ES pp7 t BOX 60 DTN ESTATESB E I 201 398424 HrL ON L ~I E6 TTX 76201 DENTON 7X ^.76201 e 6 Refused to''Qay ; P 3 0 MERE JEFF " H LSR L 12/10/01 7/29/02 88.75 OHDLME JEFF # . _ WO H TX ...76130 WORTH TX •76130 NO rOSQOhsO t0 collection OffdetS, 801 399145 9011 ~TO`J DEDRA HAM, , DEBRA 4/13102 7729/82 $4,40 f _ DfiNT 40 RUDDELL Nfj3 VENYON RUDDELI N123 TX 76201 TX 76401" Unable to locate, i V y i 102 261899 HHAMMAN , J6RggMYy HAM AN , s , @RIAN IVI6/SI' 12/20/0! 7/29/82 179,05 RTN' Bb% 2 TWIN LA.{a0 Mx RT 1 DOX 2 TWIN LAKE 1 ON TTX 76227 DENTON TX - 76201 Moved{ left no-address, 201 394452 Hb0A1MfM6E~R4 SIlE^TaR1CKEY 1pAMiK6E,N~4 CYNTHIA 4/11/82 7/29/02 39, 00 I r GENTtIN TX 76401 DPNTON TX _ 74201 Unable to locate,,'. 7. , _ S 201 371310 kJANOAM N ANTHONY IIANe0 AIAN MILDRED 1/26/42 7/29/82 69,00 W 0 aT VIROINIA 252 1t V1ROtNIA i MC IINJGV TX 79069 MCKINNBY TX 75069 No response to'4oljactlon',dfforts,71 1 I # si s , n • ~ k i Iy 3 y 1 DATE 7/30/82 11! 10: P L 0 W M E M 0 R I A L H 0 8 P I T A L. DAD 05DY TRANBPER REPORT FOR PERIOD 7/01/82 THRU 7/31/82 _ CC ! W~ PATIENT NUMPER 104444 PATIENT 11AME •s?M *4kMADOAaRCITYRBTAME *1*0 ADMITTED 018CHARQ_B WAIETEOFF OPDAACC4UNT 7- - f C' PFX NUMB R AObR, CITY, 87, ZIP F X 202 309092 HAN~EL D8CRY HAN E. CHY 1/09/82 7/29182 43 90 J RT RNiN ON LOT 48 LAKF. 8ti0RH AS Ri L0~ 48 LA:<6 SNORE T 76201 N ON TX 76201 NO response toycollection efforts, D - 1w r SHERRY HAA91N JOHN 3/20182 7/29/82 97.20 { .201 389403 HAR IN 0f bNk LATTIMORE 1 ltll LATTIMORG TX 76201 OENTON TX `76201 ''NO response to collection offort$, - EN i JIMMY 4/27183 7,+29/82 64.25 1 203 97844 HARDY JIMMY jDg RUDDELL APT 41 1 1 a l T w Tx 76201 No response to collection efforts, PLNT N RUDDBLL APT 2 Tx 76.,^0l D 0 , SHERRTL 9100187 7/29/82 98 00 e ltr 1 402784 HAq R V8gg , SHEARIL 0A A V1 RORA g80N RD !@2S UDDELL ApT T~Erlrb 231 TX 76201 A33 ppyyqq MI 48423 No response to coliectfon;efforts, 80N 2 10l 280206 HH.ARRg`8pp DRENDA 9 R 8 ALES aQ7 ORENDA 7/2$/81 7/31/81 7/29/82 389 47 ! I.Rw 8 ONARLES 2;>7 E~ ~ E I TX ' 70067 Arrangements not kept. i~ LW1 V LLE TX 79068 LEW1 V L 38 00 f N• RUM BRYAN 1/16/82 7/29/82 203 172890 HART05 BRYAN 9h4 OL&N GARDEN 914 OL, GARDEN TX 76249 K UM TX 76249 No response to collection efforts. c FRANKLIN 3Ar/gKflkFIgg 7/29/02 98.00 {`4 202 362129 ~AA$KINRIRKLANO InKLAND J P 3/ !1/82 i ~ 8hvNJ4 TX 76266 JNOER TX 76866 No response to collection efforts, ? ' 201 378364 H THIUuMpy DAVID H THAW AY DAVID 2/20/82 7/39/82 38.00 R 4 BHERWOOD 11H? 03 R 4 8 ORWOOD MHP 03 f f L D NTON TX~ 76201 0 NTON TX 76201 No response to collection efforts, 1111 201 374363 HATTAVtY CHARLES MORAY WILLIAM 2/07/$2 7/29/82 96.10 4'7 2 U OR0 HWY 49 2 BUFORD HWY ..CH MOLE OA 99999 CHANDLER QA 99999 NO response to collection BffOrts, J JAMES E 21.21/82 7129/82 38.00 201 363796 HAYHpBpVE 8 APT l27 SHAWN `H`A~EAVE 0 APT' 127 NTU TX 76201 tlNTON 1'X 76201 No response to collection efforts, , t 202 349609 [fgN0 p9 r~DDELL M107ANOF.LA 3Hlg O8fy8~~DDBLL Nloy ANQIILA 2/19/0.^. 7/29/8, 69,00 ,.aNT N TX 76201 DENTOoN TX . 76201 No response to collectipn efforts. z i8 p 102 312660 H4W BVI ANA HgRA N JOBE 3/06/82 3/09/82 Y129182 163,97! LLLE AO NORTH ItHP I V LgtG9 NORTH MHP } i L TX 75067 LIfW1 VILE TX 70067 MOvedl left no address. 1 393268 ~~ryryRR~NNpA ~EANIg E RgEgN i WILLIAM 11/22/81 7/29/82 42.32 t IBkTONBSTY C171 APT N} 'J •76201 DUNTON~ITY CITY APT01% 76201 No reSponsel balance after insuPan0e. J ~ r j w ~ I r, l F , L P. t tg~. s' t' Sire 'DATE 7/30/82 11!19: F L 0 W M-9 M 0 R I A L H 0'8'P I T',A'L}'._- - PAGE BAD DEBT TRANSFER REPORT FOR PERIDD 7/01/82 THRU 7/31/02 PATIENT NUMUER kaakA PATIENT Akkk kkkk UA-ANT, NAME»kkkN DATT DATE ~ DATE F DALAN A,8 A, CI7Y8L E1P ADMITTED D[8 H GED WRITEOFF OF ACCCENT PF% NUMBER ADD-. CITY, , 8-', 21P , 201 379768 HygAppppryry WALTER HppI:RpRpRAN WALTER 2/24/82 7/29/D2 38.00 DaCgkTONEHUB 8 TX 76201 D NTOMENUE 0 TX 761201 No response to collection efforts, 101 388033 4C4g9LHI L JUSTIN DDqAYlj {{{{ILL DAVID 3120182 3/27/82 7/29/82 1976.80 J 2;: ! PIILOT PO~NT TX 76295 PILOT pDINT TX 76295 Arrangements not ll@pt ~ J ^201 379624 H1j9S SANDRA HICKS SANDRA 2/13/82 7/29/82 39.00 13 T ADAMS 52 9209 ADAMS 1~ 1 Tli COLONY TX 79096 TH- COLONY TX79066 Unable to locate, i4 103 21121 HILL MARTHA H LL1 BOX 643 FRANKLIN 9/16/81 9/24/81 7/29/82 1586,09 1 iSANOEgDOX 643 T% 76266 a NOER TX 76226 Arrangements not kept. t 1 104 21121 HILL , MARTHA HILL . PRANNLIN 10/it/01 10/17/81 7/29/82 1710.55 41. 1 BOX 643 A , i BOX 643 BANGER Tx 76266 SANGER 7•X 76226 No response to collection efforts. g 201 390877 H280B OJIOROe HDEtlROE 3/30/82 7/29/02 40.00 ~ 4 S RUODELL N129 489'8. RUDDCLI 4129 DCNTON TX 76201 DENTON MM TX 76201 No response to collection efforts, 201 413294 VIAELOUIBE NIOI CHRISTtI2A 5OCKERSUIIE N101 ' LOYD 6/08/82 7/29/82 62,20 05 ION TX 76201 DEN ON, TX 76201 Arrangements not kept. 1 i L UN x jl 101 372730 ~{OppEg ENNIS HOD E8 ENNt8 1/31/82 1/31/82 7/29/82 164.80 2?00 FT WORTH DA Nab Ar gp ox 29 CAPRICORN MHP t DCNTON TX 76201 DHNTON TX 76201 MOVedi left no,dddress 201 372714 OFFMAN ALICE HHgtlFFMpN , ALICE 1/31/62 7/29/82 94.20 0076NTaN CpAPRICORN MI lo 27 CAPRICORN MHP TX 76201 DENTON TX-;16201 No response t0 @plleotion efforts. q 201 410935 198AN §L4EN HOOAN KENNY 6/16/82 7/29/82 47, 00 V6 PT WORTH CR N6v 20VFT WORTH DR N69 OWN ON TX 76201 D NO TX 76201 Noved, left no address.,POI 376368 V1tj4MAU! PATRICK ~1LMA1 PATRICK 2/14/82 7/29/82 80.'20 S K NT OR Nv l OX 22 DISHE S LEWISVILLE TX 79067 DENTON TX 76201 NO response to collection efforts. i~ 201 357241 HHOLMES JULIE igLMEB JULIE 9/ttl/82 7/29/82 38 00 • 1 2 g STWOOD ~'17 WRSTW1ND d F 17WWO H TX 76107 P WORTH T% 76107 No response to-001100MOn'Offofts, RR TT 1 I 101 379602 HppPKINS ANOELINA IOPKt112 TIM 2/29/82 2/2•//82 7/29/82 1797 90 1 6 0 HUNDLEg LOT 14 I' 0 % 223 LAKE DALLAS TX 79067 LANE DALLAS' ° 7X -^^76067 No response t0'Co11ection; effol`ts,-, "'1 V i. 1 1 par( r , y' 'f r 1 r 5 i tr fli , 1 :4 fr Ft.% F `tt ~V l DATE 7/30/82 1 1 1 1 5 . F L O W 11 E M 0 ' R I A L H O O P I T A C , .PAGE: 'T",6''^, . 7 I pAT1ENT NUMBER *a*** p Tl N7 NF,11C ' BAD D901 TRANBPER REPORT FOR PERIOD 7/01/62 THRU 7131/07 qq g *a ,***e GUARANTOR NAMF *11** ~ DATE , DA E DATE OF BALANCE PFX NUMBER AO1) CITY, ST, ZIP ADDR, CITY,BT, YIP ADMITTED DISC AR050 WRITEOFF OF ACCOUNT r 11 "1 7-7 20l 404020 COh'AflD , DANIEL VALENTINE , JOHN ' 5/09188 t _ 7/29/Ba^ 319.00 37 TWIN LAKES MHP ; vT 137 TWIN LA'lPS 114P ~L{QT pp1p 284 D[NTON ' - TX 76801 - D NT R -TX--, 76201 '.MOVed;-loft a S5 r 101 402347 H3WARD D O% n0" H8 WARD ~W~ , LON 5/04/82 5/06 Ob/82 7/89/62 16.00 LAKEODALLAS TX 75065 0 N ON " TX '--70065: M0Yed1 left i10';addreSS, 201 366435 HURACK? JEROMC HUQACYO JEROME 1110182 7129/82 41.50 tS 2.u0 F WORTH OR Wbl a 0 F77 WORTH OR *6L ' lV ! DCNTON TX 76701 DENTON TX '"•;76201^^''' Ho response" t0 "Col lection efforts, !1 201 390781 HU'DGINB ROBERT I1tl01®k 156 ROBERT 3/89/82 7/29/82 71.50 W ? { AUBREY TX 76227 gUBREY TX 76227", Unable t0 IOCAte, 7591. 1~ 201 402776 HUT ELLL STEVE HVTSQIL STEVE 5/05/82 7/29/82 56,00 ``5g MONROE 131 MONROE + r FIAQENIX A2 21629 PHU NIX A2' 21629,: Wyed{ left 'no addre$54,F ~1.0 201 388165 LORBTTA HYpa5HN TOM 3/21/82 7/29/82 $5.80 R 1 Y ` T... NTON PRAIRIE D M L TA 76201 PRAIRIE L(I '76801 ~/1dl left OOyadd 049 7/2 9/S2 28. 00 1 f r; 201 376301 tt ]NN t 11 LINDA ✓ dBOgg CHAROLETTE Ap7 16 2gg0g CHAROLETTh APT 1 L8 EENTON TX 76201 DENTON TX 76201 MoVedl left no address 103 193094 ItOLg NTHAVE JOHN TX 76201 CMPELMANC JOHN 3/01/82 3103/02 7/29/82 366.26 v 38 013 MCVBY 6R015t1TH MCV11 7X . I 0 76201' NO response to Col L leCtton,efforts ~ " CSR 103 24192 JACNBON MARCIA JACKSON C90RIC M 1/1^•/82 1/10/82 7/29/82 2130.40 102 MILL STREET 6pQ MILL STREET LQNTON TX 76201 9ENTON s TX 76201 . Arrangements not kept, ' l01 366146 D'1KIy8 CYNTHIA EJCNARDS PAT 1/08/22 1/09/82 7/29/62 56,50 ' DDn6 1 8 MAIN 0404 / ULE864 PASO N404 TX 76039..., E ` 12 8 BLLA NS ULG B ELL TX 76039 " NO response, t0 C0116ot10h eff0ltS. r 201 370130 J ALEX JIgMgEND A MS JOBF. DENTON TX 76201 1/"22/88 7/29/02 38,80 f... C DkNTON TX ^76201 NO response t0 tollootlo effOfts. 205 190929 HI BON , ADONIS J HNBpN , ROY 1/00/02 7/29/82 114,00 1 ~D2~ MCDONALD. 1 87 MCOONALO _ ' T DENTON' TX 76201 DETON. TX ' -76201 - NO 'response 'to 01160006 -efforts 4L 204 270454, 'q7I%QINGC1lORADBHAN HACK JSHNSOBRADBHAN MACK 5/09/82 7/29/82 222,45 URNTON TX 76201 DENT8N~ . TX 5.76201 Moved; left' no address, 1 I . i M. } x{ DATE 7/3002 11116'. F L 0 W M E M O R I A L H 0 8 P I T A.L PAGE 7 7 DAD DEBT TRANSFER RLPORT FOR PERIOD 7/01/92 THAI 7/31/82 _ I X)041** OVARANTOR NIJAME 4w+J4 DATE DATE DATTE Dfr BALAN OUNT Y PATIENT NUMBER 44044 PATIENT 10,11 n*I* ADOR, CITY, BT, ZIP ADMITTED DIBCHAROED WRI7Etl F OF ACCCE PFX NUMBER ADDR, CITY, S . ZIP ` 1 7/29/12 45.50 dOl 73636Q}iRO YASHA 2 SCOTT r TX 7 HNBSN YOLANDA I/f9/02 /29/12 187.10 ; CgTT 6201 01,;1 TX 76201 No response to'collsction.efforts, w 1 rr t. ON t _ MARK 1/31/82 7 204 107375 ONggppp1p "ARK $8Nj8X 2l0 RAILROAD AV _ ,yl I SANOER 210 RAILROAD AV X 76266 SAN EN TX 76266'NO:rdSpO4se to Collection'9ffOrts. ~L ON Eg RUBY 9/30/Ol 7/29/82 240.90 1 302430 JDN 8 RUBY DqX 1703 1 PD a% 1703 TX 76201 N1 N TX 76201 No response to collection efforts, DUN ON I SALLY q/16/81 7/29/82 40.75 209 230547 ONES SALLY JONES AT fl0X BOA PUNUE~l7X SBA. TX 76289 PtlN~EN, T% 76259..MpYedi left no two 201 397042 ~IOpNpE~ HALL 6117 NIIBSHAR N MpgpNLF HALL 217 N70X8DL$ARON 4/l8/Ef2 7/2 9/82 39 00 Y i° l OHNEDN T% 76203 DENTON 'TX , 76,203,MOYedl,left no address 76201 µqRRg LOU19G N10 , ROGER 2/22/12 7/29/82 70 30 t 202 293967 KUrRANTON BARBARA N,}0 8 LCCUBT 010 INTtlt4 7X 76201 No response to collection efforts. De fOl 390216 KEl~BH WILLIAM K p78H MONITA 3/20/12 3/30/82 7/29/82 5109.29 i 70 MARSALIS q~ N MARSALID PALLAS TX 77777 D LAS Ti 77777 No response to Collection efforts. SV 4 t 203 199019 ~JMIL~ KATTIE gKgC}I~MOLLtlU1SE N101 MELVIN 4/12/82 1/29/02 J$. OD 0 J)U18E X101 Tx 76201 DHNTON TX 76201 Moved{ Left no address. i 7 R RN M. H, P. OWEN 3/14/02 /29/82 519. 69 _ 208 68672 K19URqOUOO RANCI[Ml1AOWEN 1J7DApU~f{ DL81NTON TX 76201 D NTOIJ TX 76201 NoYedt left no address, i 4 2 232744 IfSNl1ppN RUBY KtNMON RUBY t/07/02 7/29/82 40.00 X12 9 RUDDELL N 109 3l RUDDELL APT 109 1 R T N TX 76201 D MN -TX 76201' Moved; left no address, ' L EDWARD 4/18/02 7/29/02 30.00 t' 201 307349 KI ZIN BOX 98D EDWARD KIIEENDOX don GEN ON rX 76201 BEN1ON TX 76201 No response to Collection efforts. ' :1r t ALEXANDER 2/22/82 7/29102 39.00 1 201 378981 xxpttZK ALEXANDER K ZK AlB1~EROX 210A R AOX 210A -TX 76227 AUB EY 76227 No response to collection efforts. IV 3/15/82 7/21/12 140.05 PETER 1 201 386230 KLINE PETER INE'DDX 94AO R1 2 BOY 94AD :ELtNA TX 760!~C LINA TX 76009 Moved{ left no dddreSSt' 1 ~ 1 1 I t 6 r Sammy I ppf` I t: .,.DATE 7/30/02 ' 1 1 : 1 6 : F L O W M E M Q R ' I A L H 0 S P I T A L..._, PAGE Ytsls DAD DGBT TRANSFER REPORT VCR PERIOD 7/01/92 THRU 7/31/82 FF LL PATXENTNUM~W R 444"ODRTICITV~~gBT,aXIp *NpD UUARCITORBTAMS 04*r ADDATTED1 DISCHARO... P V O E ED WAITEOP ppK OFBAACCOUNT I. ' .wu •.u ..r..._.-...r..ur....u.,-....-..............~.... ......,..I------ ...r-wru.r---r...--,..ru.. ....rte........ ..-----..rr.- ' 203 329621 KNIGHT ANDY KNq OHT aapp ANDY 4/30/82 7/29/02 40.75 ~EWl9VILLED TX 76036 LEWISVIiW.LRO TX 70065 NO response to collection efforts. 1 1 373662 xxOTTER CHRISTINA 8COTT RANDOLI+~ 2/01/82 7/29/82 91.50 Al 2 POX 260 RT 2 PWX 260 OAINES ILLS TX 76240 GAINEB 1266 TX 76240 No. response to Collection efforts, I 202 379845 NT l1,PD CHARLES p2p2NTRIP CHARLES 2/28/02 7/29/82 139.15 ~GNTONAit TX 76201 - OENTOIJANO TX 76201 Movedl left no address,' + 201 394478 LASSEN JIMMY LASSEN JIMMY 4111/02 7/29/82 43,50 " i 410 NY 410 FRY r OLNTO TX 76201 D NTON MOVedi left 00 address, -i - 1 161 320168 LOVC49SR TERESA POVRRNNDE32 CHARLES E 1/16/82 1/19/92 7/29/82 1151.85 4 SLIDELL TX 76267 P80 L100 L TX 76267 Arrangements, not kept, 102 227397 LAWEON EOCNE LAWSppN , CARRIE L l2/06/01 '12/09/01 7/29/82 50.16 180 RUDDELL 10o0 RUDDSLL DGNTON TX 76201 pHNTGN TX 76201 No response to collection efforts, 101 397400 ``..GAL PGRNICE CAL ILDEFONSO 12/07/01 12/09/8l 7/29/92 507169 i f110 W. SYCAMORE LgfO p'. SYCAMORE q DENTON TX 76201 DENitlN 7X 76201 NO response to Collection efforts. E + 5 101 367699 MARTIN p INV M fM6ApRTIN T PHILLIP 1/13/82 1/13/82 7/29/02 1497,50 1 DAINEBVlIT.IT.E TX 76240 OA[NEUVIKEO TX „76240 No response t0. Call"t14n';efforts, h 102 .720384 M480N JEANINE 003 ,3OHN 9/20/01 9/29/81 7/29/82 1073. 95 r 7 43~ HUNTERS CREEK RDAd HUNTERS CREEK READ J DSNTON TX 76201 DIN TON , TX 76201 No response to collection efforts, i 33 LDRED 10/01/81 10/09/01 7/29/82 272.03 P2 ppgg !Ol 337949 tlN~WNVll64 I1lLT%E076201 DL~NTONE•1164 MITX 76201 Arrangements not,'kepE."" t T i ' 201 353920 M KN OHT ROBERT MCKN OH7 ROBERT 11/23/01 7/29/82 1,23.00 e 4 9 SS OAKWDOD 419 gt CnI{WOOp A LINOTON TX 7601St ARLIfIOTON TX 76012 MOvedl left no address., 201 377291 M VKH$ ANGELA ANTHONY CRAIG 2117182 7/29/82 48.00 PREY HDMPSON OH 44081 P@RNVTHOMPSON OH 44081 5 ``Qp Movedl left no address 201 352021 Md T i ' Mob WpODAOW LN I TX - 76.01 I N ON WOtlDROH MYAtlN 11/17/81 7/29/82 293,10 31 MARTHA M~ 5 LN TX '°76901 No response t0'col) action ;effOrt9 1 f 1 J 1 c i C k 1 i ...q t 7 BATE 7/30/62 3316, R L 0 W N E M tl R 1 A L H 0 8 A 1 T,A,{ . lPA06 4 BAD DEBT TRANSFER REPORT FOR, PERIOD 7/01/87 THRU 7/33/82 _ t I ~ PATIENT NUMBER *****Dg ATIENT NAME 4*** o**m* GUARANTOR NAME ***43~ DATE Dqm7E, DATE OF ^ DALAMC PPX NU'1BE AR+ C1TY+ ST, ZIp _ ADAR+ CITY, BT, ZIPADMITTED DISC..... WRITEOFF -ACC 4--7 3481131tlRE KELLY MOORE JESS 30/15/61 7/29/S2 $8.00 205 OX 176 HWY 3711 PO BOX 17F tINY :477 T%', 762668Nb response t06" A DREY Tx 70226 AU B ELY , man 40 T% 76801 + 2/12/92 of#Ort4 102 366199 MOREND CHRlS10PHF man ERMEBTINA 2/08/82 2/l2/82 7/2gl88 3683 35 0 TON AV 608 AILROAD AVE 0TON rx 76201DENTON Ar12/1 /Sts not kept - I4 201 360949 MgqRp1gUN LARRY ORRIBON LARRY 2/q/Sl 7/Qq/82 « 27 00 Ptl I40X 634 SHERIFF LN BIN 614 8H5NRIFk ~N ~L LITTLE ELM '_TX 75068 ' 1TTL ELM T,x, •7SObS- No-response to sol ectlon efforts, St3 74 1 201 349136 MU8t11EYtlpO , DENNY fM08EL6FOPp DENNY 10/29/01 7/29/62 FQ6WELNM0UND TX 76028 FLO'W'ER MOUND TX 79024,10 response to,col,l@ct1w6fforts, "'1 J a01 397957 ~itlWEAY PATRICIA 12/07/03 7/29/82 44.00 0 BOX 62 r. a e wnv No response to collection efforts. I r• D[NTON T% 76201 201 392623 M LBN LEE My N LEE 11/20/85 7/89/82 70,00 " t S 2 B E ORAL WAS' 0 NI gjRk TX 77777 NO 1 tV p 2/O3/S1 12/09/01 7/84/88 1005.80 !k SOl 304949 ORANNDYPRA RIE RATHLEFI477777 MWt ApAMAR1LL0 KATHLEEN BEN AMARILLO uppnot kept 1 Arrangements not kept. >4JEN,YON TX 76201 ON TX 76Q0 y1r g WILSSRN I/J8/62 7/21/82 5®.711 I 207 196897 NSA CREdCINT RHONDA NE0CCRE8CENT TR,? 76201 No respon40 to,C0)1ection'affo7/99 LENT ,y ~ 7/29/82 106.00 76201 NTON 201 380876 NJWDEEgAN STEPIICN N6 611 8ENpN STEPHEN 2/1^9/82 h7 tlNRNARD AT 3 T% RNARD APT 3 „ LENTO TX 76.203 DNNTN YX ^°7b801 UAAble t0 lOCAt@,' " n6647 NT$U 7/27/01 7/31/81 7/29/07 3353.10 101 317743 N 22HAppI 38 BRADLEY APT 3 p BO 9A M N ZHAN$ 1 AYRX 76203 Unable to lOCdtA, a . r D-MON TX 762,01 D NO response f 1 310185 NICHOLAB 11YR {~tCHOLAS M NA 2/007/8 /52 t0 COII ectlon 7/29/62 60.00 2 12 MMONCAYO 29f2 MONCAYO T%. 76203 L,BNTON TX 76801 DENTON Aff 7/99 201 371971 NNIC~I8 f1ATTHEW N6[COI~UTL DOE DOYD 1/28/02 7/89/88 110.00 7H405 COLONY Tx 76201 -Unable t0 1bC6t@F a r}4418oo0Q{~Q~YDOE TX 76201 ~ ( } t.. _ lS 2 324665 DGNTQN NUE 0 CHRISTY 76201 00gEg B G EM7xNUE7bi10f 2/03/62 7/84/02 212.72 G v Nu Arrangements not kept, 4 r+ I I -t1 , 1 e i WNWMMWW~j 'WINK", ~i^'~`w wurwMrrownw~Ya„rr k 4t { a'~~Y l - -PAGE -10 '.f ' r DATE 7/30/82 it: 16: FLOW 11RM0 R I AL HO8P I TALi UAD DEOT TRANSFER REPORT FOR PERIOD 7/01/82 Tf1, 7/3l/82 f PATIENT NUMDER MlMMY PATIENT tlAMfi ~M** ♦waFrx GUARANTOR NAMEg ♦M4♦ DATE DATTE DATE OF DALANC6 tl PFX WUMDER ADDR, CITY, ST, ZIP ADDR, CITY,kiT, IIP ApMITTEp pI9CHAR0CU WRITEOFF OP ACCOUNT i 7/29/82 02, 36 212 30378 PAR1tEp GARY jA bERW OAK GARY 0/22/02 ..,.-1 1616 WEST OAK b TX 76201 ''NO response t0 collectlon efforts; ' ' pENTON TX 76201 DHNTOFI 1~ /29/82 46.00 k 213 30378 PARKEppWE GARY PARKER , GARY tJ/20/82 7 y 1416 ST OAK 1616 W OAK 1' (i ( DENTON 7% 76203 DENTOti TX 76201 No response to eollection Bff0rt4. 771 96 4 2201 369239 Ii DAMON PpTONP6ACH BT APT, DAMON 1/055/82 7/29/82 ,00 + PEACH 8T 332EN6 pN. K Tx 76201 NO response t0 COIIBCC10n efforts. 9 60. 00 DC NTUN Tx 76201 O i KIM PEM ERTB DONALD 6/10/82 7/29/82 its TO W OAK APT 201' 1 203 269929 PCM29RTBN ;R } 761 W OAK APT 201 TX 76201 Unable t0 locate.: < DQIJTON TX 76201 0 NTON 1/146.00 201 360621 ;EhDKS%8807 f608 11FIJ SON pERO UX 1107 LEE 7/02 7/29/97 t C: RgbU0A11pKE Tx 76262 RbANOKE TX 76262 '.Check returned 7/29/82 96.00 201 407431 P R8PI WORTH DR, R08tE P R8T WORTH DR ' RO8[E 0122/82 pp pp ` Y} [ ONCCION TX 76201EN~ON TX 76201 Unable to locate. 11r 201 392647 P1NggRA ROBERTO P NEUA ROBERTO 4/04/92 7/29/82 214,00 SCRIPTURE 1 1~ SCR ENTQ I IPTURE ~gNTnN TX . 7621 NON TX 76201',Unable t0 lOCate, , } 201 364992 bl'JHOA4NtLANO HASOAN btl1HOAKLANO HASSAN 1/04/82 7/29/82 108.90 DRNTON TX 76201 ' DENTOW T% 76701 NO response to collection offorts, 101 380675 q AN S9'C CRYSTAL p~'TTMBO% 195 C MARVIN 2127/82 3/02182 7/29/89 1171.40 Box AlHH1OYL9 TX 76226 ARQYV TX 76226 Arrangements not,kept. ROLAND PPE ROLAND 2/12/82 7/29/882 40.75 QOl 375950 1319 WINDSOR S0Q9 WINDOOR DENTON Tx 76201 DENTON 7% 76201 No response tO,COlleCtion efforts.' TT DH0 E kEAI~Y RAY 11/23/01 11/26/81 Y/29/02 1083. 13 L01 321596 .0TgR EL91E P FEN 0.0 g KEALY LSIWIBVILLE TX 7$067 L WJSVILL Tx 70067 Arrangements not kept. 201 79103 PgATTI NATALIE P ATT FLORENCE 1/10/82 7/29/02 38.00 { (~,o 206 EGAL 400 REGAL OCNTO TX 76901 9NTON TX Y6201 No response to collection efforts, ' 201 395194 4 E9i090X 19ec JIMMY PRR1~E91O~6% 190C JIMMY 4/13/82 7/29/82 172.50 A AYLE Tx 76227 AHOYLF TX 76227 Moved; loft no address. , , . • 7 1 'r : r e 4w¢ y t~I i I I DATE 7/30/82 11:16: F L 0 W M E M 0 R I A L H D S P I T A PAGE It DAD DEBT TRANSFER REPORT FOR PERIOD 701/82 THRU 7/31/82 PATIENT NUMBER Nta#A PATIENT NAME ♦M11M ***N* GUARANTTOR NAME ;jtA* DATE DATE &pArr> OF "AkANcgg PF% NUMBER ADORr CITY, 8T, ZIP »»ADDR: CITYo T,_ZI - ADMITTED DISCHARGED WRITEOFF OP CC8UNT 201 383323 PREStopof BHIRLEY PTR7'E8TI0~ SHIRLEY 3/07/£32 7/24/82 38.00 AftOYLi1~X 190C T% 76226 AROYLP X 195C• TX 76226 Unable to locate,' L 1 202 194670 P ICE KRISTIN PRICE CICILY 1/20/82 7/29/82 38.00 1 ! R'nr 2 BOx 18 3330 AVE. J NA I SANOHR T% 76266 PT.WORTH TX 76108 No response t0 COlleCtiOn efforts. i i 202 314112 RAT LqFP BARRON RA ZLAFF BARRON 4/19/82 7/29/82 65.50 10402Z qryry COWWAN #16t 1ap N COWAN #161 E ?L r.EWIBVILLE TX 79067 LEWIBVILLE TX 70067 MoVodl left no address,' 201 300196 ACED , ALLISON REED r ALLISON 11/28/81 7/29/82 72.00 #0 CRAMPTONB OAP 200 TEASLEY LANE #147 RICHARDS N TX 70080 DEN40N TX 76201 Unable t0 locate, ' 201 380337 RVIMAN TERV..BA R I11AN TERESA 2/26/82 7/29/62 38.00 N7 GpOX 0924 BRUCE HHALL NIB BOX 6924 r DENTDN TX 76201 DENTON TX- 76203 Unable to locate. 201 302226 A NCH ROBERT MCKNIGMT RUTH 3/03/82 7/29/82 109.00 I C~.I{ E PRARIE 132 221; E fP•RARIS 1311 I' DEN ON 7% 76201 DEN ON TX 765201 Unable to locate. i 1 4 201 399451 REYNt 141KE AJ NA MIKE +/26/82 7/29/82 45,20 j .03 14111)3 20 T& NA 2 I CICNTON TX 76201 DE TON TX 76201 Unable t0 locate. i~ 101 302026 MODES L09106 6LLA RH0D 8 YE R il!9/82 1/21/82 7/29/82 1000,70 01 SHADY gHOREB 201 SHADY SHORES LbT1 6 AKA{ DALLAS TX 75065 LAKE DALLAS TX 70060 No respoG3e to collection-efforts, 202 366534 AOOiNO% 128 T r STAR HARMONSOX 128 T JOE 3/10/82 7/29/02 243.'1'0 j Whom TX 75034 FRRI8CO TX 76034 No response to C0)leCt10n;8ffcrts, Ir 201 367102 RO~8080N CARL ROflASON CARL 1/12/82 7/29/82 163,25 i 24 HAnLOTTE 02 CHARLOTTE N2 DC TON TX 76201 b°22 NTON TX 76201 No response t0 CO11aCtI0R'effCTtS, " 1 gINNSON 'r CONNIE 2122182 7/29/82 76.00 203 272266 ROggINS5tlnI++ ~ONN16 010 e P 0 8811431 11CV~INNF.Y BQ% 431 v DLN7ON T 76201 D Ni'0N TX 76201 No response t0 collection efforts. 0 201 376673 RO01NSON JOY RTDIN80N CHARLES 2/15/82 7/79/82 20.00 i I ' . F ? RNOCCIIA T% 76255 RRNOCONA TX 76255 No response to collection efforts, 1 ' ElV 201 162131 RODINSoN 1WRA RpDINS N MYRA 1/06/82 7/29/82 47.10 201 CO ONADO #10511 3ppp1 CC0 ONADO 01052 P V DENTONp TX 76701 DENTSC TX 76201 No response t0 Collection efforts: j a Irk p~l,. p IWO OR I E ~M1 .I' i rl iT i r ar .'t(Y` / 4A; 1jI ' I 1Y PAGE . , ,12 _ . . DATE -7/30/82 11:16; PLOW 11EMOR I AL MOBP 1 TAL'- 7 ~yy{. DAD OUT TRANOVER REPORT FOA PERIOD 7/0i/88 7HR_U 7131102 , PATIENT IJUMDER wt««« PATIENT fJAMI< ***A* OUARA14TOR NAME *«M* MITT CHAR DATE OF BALANCcE 'PP% NUMBER ADDA. CITY, 9T1 ZIP ADDR CITYIS7, ZIP » ACTEp DI SCAROEp WR1TEOfP tlF~.A000VNT p 7/29/82 457.47 0 329169 Rt91NS8N ,OFF PA7T%CIA76227 AVCREY70PF PA7X1C176it27No ?eSQOnee't0 C011eCti0n efforts. AUDRE 201 399343 R~ SE DEBBIE ARE I DAVID 4/13/87 7/29/02 170.40 204 BERNARD DETpNRNARD N T% 7bQ01;Unable t0 lOCate:'," - TX 76201 DE TON 13.40 g AME EARLENE 9 pp g MG STANLEY 2/14/02 2/10/8.2 7/29/192 107 171090 OUNTON ETON DNTON T% 76D01 EN7ON 1X-'°°762O1° Balanee after insurance; no-responses 102 390496 RPWLINNp PHYLLIS g11LAND PHYLLIS V. 1/09/S2 l/11/8: 7/29/82 41b0 79 JtlHNOdN 1 12 JOHNSON IN JON TX 76201 D NTON T% 76201 NO YOSponse t0 CO11eCtien`Offerts7 " ' I' JULIA 4/29/82 7/29/82 38.00 1 201 400820 lAiAOJOHN80N JULIA SA AS 004 JOHNSON 7%x76201.-Unable tO.lO~eter ' DLNTON T% 76201 ~1?NTdN 202 273771 SAT Ell Ell AD% 11AN000HEHR SAMj9a ?AFAR MANOUCHEHR 9/12/82 7/x9/02 110.70 pp T pp 7b201 LOI DEN A Tg 76201-Unable to locatei- J 60 r.•..,' DSN 14 gq JAVE JOHNNY 22/16/82 2/16/0x2 7/24/02 117.010 101 37b913 gpgpCHON %%01 11 JOHNNY gpgp.0 g gg0NT TX 76268 No response to collectioA efforts. L'. )INIT TX 76208' P1LC 4 „ i ~j PN BHANI.QN OINQER 3/07/82 7/29/82 40.90 1 202 226407 FIIANNON NINOER j , 100 B?IICNOS APT 6 ppp1Q0gg S V?LON08 APT 36 T%...,,.70067 NO response 1;O CO11eCtioq'effOrW. V. gg LOW 1l,, LLE TX 79067 70060 l L W ARROD L AL4I1A8AT 22 JERRY 1/00/02 7/29/02 69.00 ,f I 201 369031 IIEYLLAS JERRY T% Y Ii ELI E7X 70060 NO response to t011ect1on efforts, R 0 41 AT 29 i LAR A gg 2 $3.00 PGNTON SYBIL 9G9PApOD LIVAA SY S1L 2/20/87 7/29/8 { 201 376232 309PUOID.[VAR TX 76201 DEN7DN - TX r 76201 NO response to collection-efforts. ~ 101 35DS04 SIIJPHAAD SHAWNEEOUA SHEPHARD MAY NELL l2/12/81 12/10/81 7/29/82 299, l0 66 &AMBERS 608 CHAMBERS t- DENT ON T% 76201 DENTON TX.. 76901 NO response to Collection efforts. 7124/02 l0. 00 201 379842 I. x LENT 9IIEPQAAD WILLIAM 907P96RNARD 034 WILLIAM 2120182 x 707 ERIJARD N34 TX 76201 DENTON T% 76201 Balance after insurancel nu response. 1 r 243491 DIIUFh iD OARY B9pH0pxUxFFey1ELD I GARY 12x03180. 7129/82 27.00 4 f gAI406A T% 76266, AANOI+k1 TX• - 76266 Baluce after insueance; no response. , L 'Y 1 T 11 / 1 ~ f_ t t 1`. I' s s, t .i f y 1r~S~ i ' SIn r DATE 7/30/82 11:17: F L 0'W M. E M D R I A L H 0 8 P 1 T A L PAOE 13 - Eg BAD DEBT TRANSFER REPORT FOR PERIOD 7/01/82 THRV 7/31/82 PPFXENTNUMIMIERR MMw*ADQR, CITY,IAST,4ZIp ***«ADtlRARCIITYRS7pM21P*~~`__ ADMDAT I TED DIBCHACOEO k0'RLTEOFF OFDAkCCOUNT ' 201 386474 ggIIM"TliONgg CHRISTY 9 MMONS CLAYTON 3/15/82 7/29/52 18 tltl fi7 8tlX 4758 RT SOX 4768 f DENTON TX 76201 DEN iON TX '"76RO/'r No response to collectlon-efforts, ^ 201 377333 MB , EARNEST StMS EARNEST 2117/02 7129/92 50 .80 gg 5~4 RUODELL N152 R RUDDOLL N152 14 DSNTON TX 76201 DENTON TX 76201 No responseto COlloCtiOn efforts, - q 2201 356950 SMITH LAOUITA 42t`TH0 FLOYD 12/09/81 7/29/02, 103.00 3lO H LENWOOD TERRACE T% 26099 HUli81'LENWOOD TERRACG ` I11)AR T eHHTT LORENE HgMai1gi -TX LORBNE 76059-. No 2/11/responce82 to,collection effortsr'• {V , f r 201 23982.7 DEN 9 4 X 7/29/82 38.39 ^9 COTT COTT TON TX 76201 D6NTtlN TX 76201 No response to Collection efforts, 201 370577 S ITH MARK SM1 H MARK 1/24/82 7/29/82, 76.50 7 F X CIRCLE 7 OX CIRCLE ~ UCNTtlN 7X 76201 DEN 'ON TX 76201 No response to collection efforts. ~.o i 1 390278 +'II TH . SHARD14 SMITH r DAN 3/28/82 7/29182 70. 75 ° j 613 WILLOWWOOD r DENTONILLOWWOOD DUNTON TX 76201 4 TX 76201 No response to collection efforts, 106 2980 UMI'H , TAMMY 13MIgTTH 11ARVIN 2/03/82 2/08182 7/29/82 2343.$0 RT SOX 274 RT R QOX 274 v AV9 EY TX - 76227 AUDRRREY TX 76W27 Arrangements not kept. f~ 204 198341 P,I-ILTVR0AK NI ' JEFFERY QOM TWHERCAK 01 , COLE 1/16/82 7/29/82 187,50 fDENrON TX 76201 $$E 4N TX 76201• Unable to locate. 203 365781 BMIi ERS JEPFREY amlgjERO JEFFERY 5/14/82 7/29/82 109.60 001 ~WIITH6RS ER N4,1 APT 3A DCNT6N TX 769'01 DHN4,1 TK 76201 No response to collection efforts, 4 103 34934 g LLISy~ WALTfiR , LISA 8 lW WALTHR DAVID 1/23/81 1/29/81 7/2W82 782.3$ ISV, iLLE TX 7906' L' WI VI Lfi TX 7$067 NO response t0 collection efforts. 205 174185 SPA AR KAREN 5n . KAREN 10/25/81 7/29/82 496 84 / FO qqpp X 003, STIARUP Pp gpgp 03, STIRRUP PILO~ P [NT TX 76201 ' T1OOA TX 76201 No response to collection efforts, rlv 4 153049 P>ppAOqRY TAMMY DPRASARX , JOHNNY D/26/81 7/29/82 19.25 I i U 0 11EADOW OAK DR 1704 MEADOW OAI~, DR f CNTONN TX 76201 D NT014 TX 76201 No response t0 Collection efforts, 1 338491 8PRADA Y TERRY SPRAOARY TERRY 12/07/81 7/29/82 323 47 4 DCN?ON X $4 Y 14AYH1L TX 76201 D NTONOX OqY MAYHILL NTX 76201 Unable to loeake. J S 1 i 3 } r f ,DATE 7/30/92 il; 17; P L O W 1i E M O R 1 A L : H U'6 P:1 T A`l" PAOE' 4 .7, ~rrxL DAD DEBT TRANSFER 11EPORT FOR PERIOD 7/01/92 THRU 7/3S/SP PATIENT NUMtl R 444aA PAT:"""T" . STNAME, I ZIP M 22222 ADD OUA CRANITYI'UR NAME aaraDATE DATE DATE OF BALANCE HARCED WRITQOFP OF ACCOUNT , r :BT _Y ZIP rrr_, ADMITTED DISC R. PFX NU11DR ADDR. ' 2 361980 P9RORS910 11ICHAEt SPR 0 MITCHELL 1/05/82 7/29/82 1419.60 39 / LUO F{UWDLRY 03 PpOp 9919 LAKE DALLAS TX 75060 L77A1tE1`cn1Al.LA9 P YX 75065 No response to collection efforts. 71 803 .^98972 01 LONDONDERRY Cake"u142A D NTONNOONDFRRY LN ql ARy620t No respose to collection efforts, /02 38.35 ` ( DTON TX 76201 R 101 359760 8)BWApppp 11ULIESA ST5WART MATTHEW R 12/35/81 12118/81 7/29/82 1306.10 j 4.:01 YOLER ROAD 4 O1 TQLEA ROAD ~1+ ROWLETII TX 79088 R WLFT TX 75099 No response to collection efforts. g 201 402453 STEWART RALPH STQWAIr RALPH 5/04/02 7/29/92 82.00 I AOLt M257 621 EAULQ #257 J F [ICNTNN 7X 76205 DENTON TX 76201 Unable t0 locate. IIII 201 402750 g 11HART JACK 8WIHAR JACK 0/05/82 7/24/82 _ 75.50 R}~ SS BOX 192 R7 1OX 192 J 1~ fiANOER TX 76266 SANOCR TX 76226 Movedt left no address 3 101 347609 TAY4{,011 BRENDA yTyyAy~~yqLOR KENNETH W 12/18/81 12/21/61 7/29/8.2 1248.00 DCNTONHARLEB TX 76201 f)LNT01PARLES TX 76201 No response to collection •f,rorts, 2 I~ 103 129353 TAYLOR D92CIRAH ;AYf.OR JAMES 9/19/81 9/23/81 7/29/82 657.60 B14 CARROL N136 4 D CARROL 0136 „ CNTON TX 76201 yfD NNNTON TX. 76201 No response t0 Collection efforts, ,w t54.00 V 1 390279 TAJ O4 CREOORY A LOR OREADRY LLAS TX 76701 D 2/26/82 7/29/92 5 ~ MISTY OLEN LANr 1 8LLA8 MISTY OLEN LANE TX 76701 No response to collecti on efforts, rts 101 28+^.038 T L R INP F ' TRA~Y OR KELLY 4/07/81 4/20/81 7/29/82 7599.75 AROY~~X 123 TX 76226 AROLOX 325 V TX n 76226 No response to Collection efforts. - 201 380873 JANET gg E JANET 2/28/02 7/29/82 3110 , 0050k T WORTH LOT 40 NT WORTH LOT 4 V TX 76201 NTO TX'- 76201 No response to $o11DCt1on efforts. 203 103218 TJ82ACQ I fi~RIAK 118;A85 9RUCQ • 11/26/81 7/24/93 87.20 ti 1 6 RSOLE OR OOd A 101.9 OR ~OX AA V D14NTON TX 76201 N ON TX " 76205 No response to collection efforts. 1 373015 TTcc RQII CEDRSC TERA IL CEDRIC 2/01/82 7129182 30.90 ! b1 RhADWALK 612 OARDWALK 99EE d DENTON TX 76201 DEtNJi000000N TX 76201 No response to Collection efforts. JEARLD 1101/92 1/05/82 7/74/82 90.37 1 601 394140 ~iW 153 JFARLD AT 1 u ~SD 1 AUQ4QYDOX TX 76227 AU R Y TX,•°76227 No rosponse to nollection'offorts.' + , I. r J , r, sad DATE 7/30/82 11:17i FL OW -HUMOR I AL H 0 8 P, I T. A L• ;,'S, PAGE *18 -r BAD DEBT TRANSFER REPORT FOR PERIOD 7/01/82 THRU 7/31/82 PATIENT NU4bfiR *r►►* PATIENT 11nME 4 la** GUARANTOR NAME DATE DATE' DATE PF BA ANCB ' ' I PFX NUM RR ADDR, CITY, 8T ZIP ADDR, CITY,BT, lP ADMITTED UISCH ROED WRITEO F OF ACCOUNT - - TI E 202 n80774 RAEORE VISTA JOBTXH 76201 ENTOI EGRE„ VI87A ,...JQ TX `76801 4/82 » 39.60 ` I 308486 TTI M gg~jppN 1l,~~11Cq8 THOnPggppN TOTX No response collectlon effor7/Q' I I X1 OX 1 LZ MfiIO~ BTRggg T P 00 ggOk f lit ME1GR Bi 4/82 68. q0 1! SAINT JO - TF 76265 SAINT 40' 'TX 76260 No'rosponse'to Collection'efforts;" p aa MM gg OR ARK 1/26/82 7129/82 40,10 201 370449 R7110MPOtl X 441AA . ' ] AT }qOON60~R441AA NO rOSpOnS@ to COf1ACti0n effOrtS 1 ri N70Np TX 76201 DENTON '7TX-"?74201 _ i 1 101 363473 TTII D~1RAR MARY @ R ROBERT 12/30/61 1/19/82 7/29/Bit 268.22 I' ac^^ LAN$ 97 TB4 LAN ST IRVlffff33330 TX 79061 VI O TX -_74061 No response to col lection'-0ffokS f 201 401158 Tpp22rygryqISON BOBBY 1MM01g BOBBY 4/30/82 7/29/82 47.00 r PINIONET PRAIRIE TX 76201 UENTONgT PRA[R1TI TX- 76201 Unable to locate, , S 201 378976 TEpNN I.]MOTHY T NN TIMOTHY 2/21/82 7/29/82 46.70 sDS (~EL AIR 286 EL AIR it DRNTtlN 7X 76201 DBNTDN T%', 76501 V. yy y No:response to Collection efforts,' ' 'd i a4 l01 296098 7RA J LILLIAN T AVI EF BODT%Y J 9/15/81 6201; NO.r SpOnSe to collecton'efforts29/132 1 F 101 372946 O7R~D4n0 ERHITE IELDAK LINDA 76201 t AN 2790 278.38 j PilD% 60 KRUNN' 6~fiLD , 857X., , 76849 2/01/82 2/07/82 7/29/82 37.00 1(RU TX 76284 Ft No response to collection efforts. p J lOl 371427 TA~ 1'1N0 TBAt pp tt//gg YW CHuN0 1/28/82 1100/82 7/29/82 81.90 f" 0 N ONBITY CITY AS T 9Tk 76201 DktNTtlN9ITY CITY APTB CTX 76201 j C 0 No response to Collection efforts: 1 209 90961 Ti1cY6Ep CLARA CKBN PREDDY 2/03/82 7/79/BZ 38.00 ss3Rp gUDOSLL APT 116 pp RUODELL APT 116 I r GENTbN TX 76a01f~tON 1X 76201 ' B 4 W No response to collection efforts, Np , RtlMK RNEN , fiRNfiBT 1/03/82 1/07/82 7/29/82 17. 80 10 ,1 98663 W NAW 22CC 7X 7620J 8 03Nk 02C SAGI C TX E :L 201 379662 Q/KAOUI6E APT i6 AKPAN EK OUtBE Apt l6, AKPAN NO r2/22/8 COi18Cti0n 8__6_7/99/82 36 v I k~kftlA 8q t t {4 TX 76201 N1ON " TX 76201 No response to collection @ffortS. 4 S 1 03 246462 U U ATT08 I RICHARD I/OS/S? t/09/82 7/29/B2 1 239.00 ggggK CHARLES 2~J7 EMERSON 1 dGNTOATONM RBON TX 761201 DHHHHNT014 TX74201No response to collection efforts, i I , ,lyr, d S x 1'Y, AT (1Hl, ' DATE 7/30/82 11:17! P L 0 W 11 E M 0 R I A L H 0 0 P I T A L.,-... PAOE -16 DAD DEUT TRAN9FEa WORT FOR PERIOD 7/01/02 THRU 7/31/02 PATIENT NUMDER ***A* PATIENT 4A ME ,,k++t *#WA* GUARANTOR NAME «*r+ DATE DATk DATE OF DALANCE PFX NUMURR ADDRr CITY, ST, IIP ADDRr CITYrSTr ZIP ADMITTED DISC A OED WRIT9OFF OF, ACCOUNT ~ r tol 373217 /A ADEZ ORLANDO t/A gDEZ ORLANDO 2/02/82 2/03/02 7/29/82 430.00 I1~0 W HICKORY t1~0 W HICKORY DRNiON TX 76201 DENTON TX' `7620INo response to collection efforts, 102 122036 VAN MICIIELIE HtNDI TAISEER 9/19/01 8/23/81 7/29182 1429 $0 J31pp ALLMEADOW 4127 331o FALLMEAOOW #1227 DDNTO~{ TX 76201 DC0014 TX 76201 No response t0 Collection efforts. 1 201 3799318 V'8S JERALD VFf8S JERALD 1/29/82 7/29/02 76 79 R 1 DOX 30 R 1 ROX 30 g PONDER TX 76959 PONDE YX 76259 No response to collection efforts, 1 203 130644 V ST LILLIAN VEST LILLIAN 7/02/81 7/29/82 107 10 19 LEONARD BT 109 PONA9D ar r !5555WIBVILLE TX 75067 LEWI6VILL TX 7506700 response to collection efforts, lkw ' 101 136416 WAIRIOHT BHAUAITA gppl q IO VENARY 1/12/80 1/14/80 7/29/02 128.60 pppNppNpR%%4HT 433 EfAROC1TY 6 ' TX '71667 BTAROCI7Y 6 TX 71667 No rOspollSo to•C01100tfOA efforts.' 201 368399 ALKLELaWWgtl{~NN DILLY W7AjK1EI,,RWWDgOL58 LINDA 1/16/82 7/29/02 95.29 ; ~lltlIANOINTLN TX 76298 PILOTAP70N LM TX 7625SNO response to Collection effortS n~ 202 345989 WWILL JANICE LL JANICE 11/13/81 7/29/82 48.00 ~.l TWIF1~ LAKES MHP 023 TWIN LAK[8 MHP #23 h,CNDNN TX 74,201 D NTON TX 76201NO response to collection efforts, b 11. 1 343970 ~Li LED STONE J 10/21/81 7/29/82 104.00 1 TWIN LAKES t ' 06N ON TX 76201 DALLAS TX 77777N6 response to collection.efforts~ ! i 1 201 377899 ~{g_LAOEVDERSON 901 I4AHY M1A1ANHERSON qOI+N aRYEN7CS01 NO responSee o Collection efforts. 9/82 38100 nn VVeg l L A 1 UEdN77801 ALEST1 TX E A ESTI IE TX gLAAGEY RICKEY W AI~LApEY RICKEY f/03/82 7/29/82 $ 201 364939 A 6.00 DIINib Nn T% 76201 MO TX 76201N0 response*t0 00119ot1On efforts, j , YV E 4~~ ~EH µµgg gAkp DIANA 6/14/81 6/16/81 7/29/82 R 163 40 4 fOl 303230 DAMON ALLE rH COLtlNY -TX 75067 1H~bCtlLO~Y TX 79067 NO response to'collection"efforts.' 201 369769 yy~~ NK SKY ~UOITH ANKASKY JUDITH 1121102 7/29/02 38.00 I i!~0 {qp NEV RO ON ANEEY RD - ICNitlN T% 76201 ONT~N TX 7620100 response to collection efforts, t I~ 101 375733 ~AOHAGTHON, LILLIE WABHAN?TON LILLIE 2/11/82 2/12/02 7/29/82 666.29 a T% 7b2O1 D E NTON T% 76Q0 t4q ;Ilnettle to locate. , CANTON 1 I r 1_.I , i;lA DATE 7/30/x2 L1~17: F L 0 W M E M 0 R I A L H 0 8 P t T A L PAOCs l7 - DAD DEOT TRANSFER REPORT FOR PERIOD 7/01/02 THRU 7/3!/02 PATIENT NUMpEq Y4a/Y PATIENT 1JAM ►aiF MMAMM BNl1ARANTOR NAME Mw4* DATE [TATERtlED DA7£ tltlF OALANC~ AD A. CITY.S . IP ADMITTED DI8A WR EOfF OP ACC NT PPX W+111DER ADD-, CITY. 201 380340 41 AABBON IlARflEN WAS80N WARREN 2/26/92 7/29/92 67,3E " SMONHALL 0399/14i DO%TXy 76203 g8TNTQN 6031 TX 76203 Moved} left no address, L 203 169753 WCCDpp DUSTIN WWggD9 DAVID 12/04/B1 7/.x.9/82 38.00 i PD OOX 203 LOODY R0 PO BOX 203 JI)8TIN T% 76P47 JUSTIN TX - 76247 No response to collection efforts. V } 201 406926 Wrist JOHNNY EST JOHNNY 9/19/82 7/29/82 38.50 1 910 $ E6M OJO 0 ELM DENT' N TX 76201 NTON TX 76201 Unable to locate. '~11 201 366641 W;STp88pROOKpp 111CHA9t ppEpgxT 0p1~ g CHARLES 1/10/82 7129/02 84'25 » °tLOT4POINT 2 T% 76298 pllp~~Ptl NT TX 74201 ` No response to Colteotion offorts, ? 101 403238 WHIP TIMOTHY WH~TE TIMOTHY 9/07/82 5/11/82 7/29/82 1739.55 TEASLEY #714 ``8 0 TEASLEY 0714 i4 DIN TON TX 76201 HNITON TX .7620l Arrangements not kept.-,' P. 201 362723 85g DENNIS ] 01N9 DENNIS 12/29/31 7/29/82 129.00 307 ar g Q0 !I { 6011LENE~KTON TX 79601 A 49NERKTON TX _79602 tlo responta to collection efforts, " l 101 179007 NTWW LKINNggpoN 14ICKY y~T LK1NNggDN DAN 9/Ol/81 9/04/81 7/29/82 L94. e6 aaI 4y 4 DO% 611 £MP qr GOX 65 EMP S Gf NTON TX 76201 DCNTOW TX 76201 No response to coli80t10n.efforts., 1 ; 101 36022? 3l. ETT NARY RTILBtlX OA PAUL 12/17101 14/14/91 7/29/82 957.55 1 POX 8A ~r;g 1N TX 76247 UU T N TX 76247 No response to rjlleotion'efforts. 201 371385 Wtl SAM EDWIN WI LIAM EDWIN f/27/e2 7/29/82 46.00 ' 0p 10UTH WATEk 11 4 SOUTH WATER WlC IppAgg KA 77777 W HIITgAgg KA - 77777 No response to'COIleCtlOn efforts,` ' k4 202 199860 §LLA0Uf1RT8tlN OORETHA &LH01fER8TON DORETHA 4/27/81 7/29/82 43.85 t i OCNTON T% 76201 NTON TX 76201 No response to colIOcti00'ifforts: 203 44289 wJtLLIAp~18 HAROLD 1~qLIA~1 g HAROLD 11/09/81 7/29/82 '56.00 DENTdND00% T% 76201ENTOf1bDOX TX 7620L 11105/0 NTON 0 X 76201 DENT N X No respOnse 1 4O11 /07/s"AffOr " ' 7/29/82 936.30 ~ W ~ ~ ~gg WW11 ` Mpgg i 11 /07/91 7/ R 101 aI69 % 2O MAYH~LI FAO RT Q b0X ea MAYHILL 102 31 9627 ~£1LLIAMS MICHAEL W LLIAf1O Iqq~E8YM7620L t10 response to Collection Efforts."° "...X 1 940.50 t 1 g pp 444 Appq ggNN pppp 11/11/81 11/13/81 7/29/92 70 K ~¢~9 Q D 7HB OG ILLPONO 1 ~t19 ON 7% 76201 LOR D SpR[Noil CO • 80'107 No, response to Collectton'Offorte,'s 1 4 ~ I , 1 . 1, 1 1~ F ~ I 5555 rM~ f r ~ ......OATS 7/30/82 111171 P L O W M E M'0 R I A L 'H O 8 p I T`A,I:^ .PAOE' °;,^38T~. , •,?,,^.rT 3 DAD tlCD1 7RAIJ8PER REPORT FqR pERttlD 7/01/82 THRU 7/31/82 PAILL+NT PJVIi EH ~aa~~ PATIENT NAM era,t pMNMp puARANT4R fJAME wRMM DATE DApTE DATE OP OMAN E _ i PFX NUMD R ADDR. CITY. E~, 2IP ADDR. C17V,8T~ LIP ADMfTTED pI8C1iAR0ED WRITCOFF OP ACC UNT t , ~ 204 296248 tL 9QN ~ Jpp9EpH WIII,,t;gqN . pEARi. NO rOSp0n50 tV CO 7/x9/82 109.70 1 • ~~Sh OVTH RUDOEU N43 204 RDUTH RUDDELL k47 DGNT N _ TX 76201 DSNTON;,..,, .__,_,,.._..TX_....7620V.. , 11 LV rJ LgdrJ _ ~ l1 ll~ctiofi efforts, ~ "I f 201 369.x.13 W Lg0 g SLV1N t/00/S2 7/29/82 137,00 1 3~1Q IJ COUNTRY CLUIf ktl ~1 3~5~ Y' COUNTRY CI.UD 219 SRV NO " ' -T% 70062 " V NO TX°" "7e062=~No°respome to'cotleclin.~'efforts;' _ ~ l01 366278 RWWqttfrBE p QEOROE AqWW178E gp . OEOROS 1/09/D8 1/11/82 7/24/82 F 32.60 RNOANtlkL% 2eH TX. 76Qb2' ROANNONH%.2yH _ ..7X;~r'7G262, _ , f 101 367903 Al?YL~OX 243 MART%RIE7b22h AROYLrtOX Q43 BTTZLSY7626b~'No reSpOrlsBe t0 COII@Cton~9ffOrt9q/82 Q26'30 '.^yl' 1 1 364240 WRJ?HT IIARIS WRIOHT , MARIE 4/00/8? 7/29/82 46.00 ~ + ! 11,16 OAK 1616 W qAK ; ~ D[[•NTON TX 76201. DEN ON 7% "'76201 ~ NOreSpOn50 t0 collecElOA~lffOPt9r~ ~ ~ ~ ,i SO1 ,371007 Y I CNRIBTINA gWypLl ELDP.R7 1/28/pa l/31 /82 7/.9/82 1D09~1tl t•^.,_• 118 HMY8T21 APT ~30r TX 76266 9A3~~RHU~T~ TX,.7b?bb r- NO'response to'~edllec£fb~n"~ffOrtSi.»,,,: t 201 41Q639 IT 8 WW y1 K NNE1H YbbA 0 , NENN6TH 6/06/82 7/24/62 4e 00 ~ ~ r' L~W[BVILLE TX 70067. LHWIBVILLE121 APT 2307Tk,, 711067 UndblA tO IOCOt9.; %1^•T'.'I`~'!`'~..r' , 20! 380824 y UIJO , KI2qNCRA Y UNO , OAMUSL 2/2p/8i3 7/29/g2 69.00 'f i gg nEg TT I f:' f~~NT Bb% 36 NORTH DTN T%T 76201 p~p~dWOX 3b N DENTON 7XA;;7b201 ' Hovad; left no address ` , l 368170 ~ANEk 11ARWA 2AHDR . OHAZI I/2b/B2 7/29/82 072.70 ~ r .G4 AVENUE 0 pppp9 AVGNUS 0 M11 ~ ~ UF,NTgN TX 76201 DHNTON Tx x76201 ' No response t0 tO11Qbt10n'effOY't4~ ,t, l01 342642 VN10A ORISELr1A uuNtOA , J086 10/16/81 10/20/8f 7/24/82 766.90 ~7 ? N3e4 , 7 g304 _ ANOEN TX- 76266 , , ~ AN~ER TX ,76266, Arrangements no!'kepf. ~4 r.., _ ,-.....TOTAL 8AD DSDT WRFT6-0Fp-'TH18-,p6R100: - ....84804. i3 _ _ , ' ~ ' 1 i ~ • i k . ~ , . ' 1 ' - irK `r ~ i ~ S' V• ~ ' S 1 i<1 , i DATB 7/QB/9Q 1ct~ for P l: 0 W M B M tl R 1 A L H ,0 B P I T A L - 'PAGE ^1~ Lu ~ j i ' ~ ACCtlUN78 R8C61VA9Lfi ACCOUNT STATUS RfiPORT.:. CHARITY CHAR6E•OFF LISP ~ PPqq %%IfiN7 i M5 Vp pprp ppg pCPPpFppifiT-TADMIT pDpATTT MpggDDCcCc gg JppULY 1902 rrAA gg Fp/ I ~ wIND1~HOT~PA~+~DNO,« OVARANtOR RDDR@BRR--NpHONB NUMBHR A%C D[BCHAROE pAT~ MEDI,CA[p M 1N8 N pAtt~$NT CV~RE~T B~ANC~ , E yy D I~ ; A0108 3434~~TOP~ gg9ptlyyDRRAhhOAtiB ~CONN1fi QQ 408:f 8Z ~$%19% APpLYfNO 1,100.00 14.00 tl qq yy ~ ' L~W1ilVILLH , TX 7006 10/~8/~~ ~4~~6 ~ r " tt yy" balance after IglOtllcaldyy, p 76 tl0 1 AL~OI 4R11~i1fi ppggNNTT~~NN CDVN~YI+JAIL .TRAV18 89 7%~~%8~ ~y;, 76.00 7b. 00 3J i ~ * DENTON ~ T% 76801 443 ~ I pp~p gp- p~C gHRpy Donton County gJaiL p ~q gp r I HM~C1 4038~~MD ~HSN~8AH1488PRIN~9 DREDWARD 98 6%09%8Q 800,00 179.Gp tt gg t,~ s I i pp OA Denton County Ja11. ~ `~e'p~ ~ ~ 9R~1IN0 4Q3f~~1A COUN~~NJAIL ~MARCIA Bq 77~~/~g /I~ 1. 09.00 i pgNtp~ ~ 7/09/B~ DCN1'ON , TX 76401 ~8: j"tic, Mpp w p y~ Oenton County Jail. y g., 4. C~ D 201K 41777~LYNnngqN COtN1TYCJAIL ,MARILYN 0 94 6%~'~%B'~t 1~ 39.77 qq il~ 0!N , TX 76QO1 ~9, Iii ~ , " " Denton County J4ail. ~ g 4• y fiNOL~TT it9Z AL $~Nf8Uh1 N UfT r~RT%B 7DOR~ 8® 1~%~8%81 bOZ Q7-9002 65.00 60~~ d~~ D 9797 , " g~µ pgg pgg p~ Indigent care q p gp i . PRA05 501166RT ~~0,~_,BYCAkOREAN / , A7XKRT76Q010306 ~9 7%0~~81t Q. 90. DO ~ ~ I i " ggCp~rr ~ n7~ gggg gg Denton County J611. gg _ j AR~OISHRO 4187'b~IT COUf~1YNJAI4 ,SCOTT.. 6q 6%¢~%9~ 41.00 ~ F~ pp rrppNN c" pppp ~ , " * C~~TON , Tx 76aoAenton County Jal 1. 4, 00 ~'i kAHH TON popQ~~ DN ppggNNrr((~~ ILTON i OORDON fi4 / / 1. 08. 00 ~g pp !„y I ; "2~~ 4Q11R~» Ddt11GN QDU! IV JAIL 9 ~/OA/6~ 4• 30:.'00 1 ?<q ~ IJI b t ntor County Ja11. HAM. . l Q0~1'tlN 441p~~~J D9NYON COUt1fYLJA1L rrOTxtlDN76Q0? a .99 7%f~%BB 1• , tl9.00 gg ~~pp 8.00 ~ I l " -ggyy--gg% _ Dontan County JayitQ,9 gg1 • ~ ~ HA~tOJ~9 0034G11~LYDHNTON COUNiYfiJA1L ~ SfiV6RLY K 9~ 7~R1~B! 400, O1 S4. 10 Sq, t0 4~Y Denton County Jail. , . y ~'I { ~ ~ e 1' I ;t ~ ~ ~ ` t~ .rw.r.....,... .,...~....................a....._.~..............w........~~.., i ..y. 1 y DATE 7/20/02 12:26: FL OW M U M 0 R I AL H 0 0 P I T A L PAM 2 ACCOUNTS RE091VAILC ACCOUNT STATUS ARFORT g~ I 5 N INS # pAal kT CURRH1i7 n fIA All - MHp1CAI PS %~IcENT_ q~01gp 0upapN TppR NApOg DtBCHARO~ JA 0t 8CT pA N0." OUARANIUR haDREBB PHNE NVMtlBq 10 *PA V DENTON HH pppp TX 73620001 69. { 4466133 qqp 4 p HI LJARD 1MILE O8' CrODRtl111LLR1,H0 , HT%TLE730Q14736 84 1P21/12 001 t?76jjM 1.19$. $8 21. D0 77qq gg~~ 84C 1l1, I10 Balance after Hoilip0caaidgg, "p « 9 7/P7/9 39.00 5. pppQ 00 J HY202 401608 pgkTpp COM JAIL JAMES 8 DENTON TX 76201 Denton County Jail, gg ; L " TT aaRR" q g0 p q g 160.00 11.00 gO t JAC~90N 4111i14t BANOBARAL~"PRVD0K10135 %DVS741267371 S2 /1 23079t207 1111;05 « " Balance after 1/16 ~ 14 s, LO pp 77TTY q OVg BEIM 33gg apc 9 150.00 26,00 102 22897 2gSt010U5~B N3 TX 76ii0i 4261Da1HAt41ter 6%0b1g 367 p~ « « Llro VN D uuNNqq tEVBLUVN 68 17.00 00 201 458964 d NT CRt1<SURg t TX , 76201 17 i Indigent care. 1 ~ A~N~pp4 , gg p gg 140. 00 002, 26 SSp y J , NU9I1NB 3210Z6A QC90 ITHI+6T1l,a WANDA D 6pS 9513 8~ S%%B PBNDSNA' 6Bq'6 eassJt,' TX 7A266 Indigent care. i * gpr. , p yp ; Cq, T,~ D g 4 Q g 900.01 87,50 6%R%B 9~ PA~aNSON 41y68AHAMDHONOVSfiA110FI X000NT,WtXFy tt86 1233 ~9. 60 g V « RAM Y « qq ggg gg77 Indlgahtl1care, cg 6t - ; 765t0195P.6 ,dtgent2eare. A IMI 412-9003-01 .00 35.60 J ; 1 RAMP 2460A1 Lgg gNLOOMa1y M7x g 180 ocenn. 900. 01 70-00 Grp ~p ~ 0 ` Rcr~ rDSOM 41~b $ Gg fgi COUNrS'AgR4~" rJAMB6 9 6%Q9I/63: 70 091 ag~ TX 76205 Denton County Jail.; ~y V 8HA~{AN MypTLR gHAHAN iMYRTL1i7620 94 1/11//11 //4p 96 94T 16.00 016 00 104 13991 D4Fl1OIYARROLt N 1 16166801'188.$8 TX, D4 Balance after Hedicare and Nedicaid. 1 i P 11' VM71°AMI~ 1 DATE 7198/82 121 tip; F L 0 W M E M D R 1 A L H t.. 0-8 p 17 A L' _ PAGE 3 . ACCOUNTS RECEIVABLE ACCOUNT STATUE REPORT RR O txxENT Nql1 ggggpR vv NNrrpp MMgE ~ pp CC qpq tt44DMIT ggA MMggpptt gg ppttA/~ ggtt~~,, EEpp *I I HCT PA7 tlN0,a OUARANIOROADGRft89R--NPHONE NUMOhR R%C Q CHAR09 DA MBD[CAlD k INS N PAIuUI, NT CURRE~7 BAL~NCE 1 L BK1~ NDA 37%b DLNYQN NUR8Ih0 LINTER HELEN 503 5050 000 150.00 18.00. 19~~I DENroH TX 76901 * rr_yy~ gg Balanco after Medicaid. a 'i SMO1 4f76~9EN NqAA EgiXBCVf14HE MHP DONNA 4q7 714 S"1 503081972 150.00 11,50 0. ~ t * r DCNQN T% 76R0~ Balance after Medir.old, tf s~ I t7 yq T p M b byb6 5~yl` t~: 0p B~ROf 41.R577YA LBWSBVlL1,HA7~M V7ZTIA7AON7 Balance a84 11 ~ fter Me6/ di 8AeB d M109a1093II0SA 15.00 14 y~ qq 33 1, 00 J 10 AJARY 18j44aEL CAqE 9PRABARY JF.RREL N Np S2 Pill ~R Balance after M 15>~9~b42781A .1QQ,QQ 30,40 908' C Medicaid, tl llaavv vvvG 6 * * BANOE~ T% 7666 a car' d ~r BTVAIT 2giA3~~ LEWl6VILLIDVDAEVE 0%A 740674317 9t 0%19%8 522-32-6115D 100,00 53.40 503: ! * Balance after Medicare and Medicaid. 0 `r TE OI 41A9 6Y OBN~ONPS DENT%EMCKINN YTXMY 7219?"" 89 W8/181 3;900,01 102 00 101:tl~ J r ~p op II* Denton Couety Jail, 4. TH?r BON 403139 -1 D T EL S Mg n ~ueTikI0MP80N DANtNL F 84 9/0118!! 11900.01 19.00 ~3, J o d it p` * ~ TTtt gg T8 76201 Indigent care. 1 a 11M 353 MA 814 pT.WON~~IDR,NSd , TX EMMA 7dQ018320"7' 96 2/11/eS t '88: $d 1678,95 t6 J » * DN Indigent care, /8 1678:95 t; J 4 Tt64fB f67S2* 6SNtlNT,WOAWDR,NSbETXA 72R0[892037 BB 3%Qb%81 900.00 56.16 156: 1E Indigent care, : J WAN1, 404841» JjNf ,OT M ACORN RANCNPT%BC17LLA 6201 81 503398799 3 150.00 19.00 W~ Balance affter Medicaiid.4, r41 yy A WHJ;L"K 4II6L[8,104 9 RVD 99,LM97 i PHYLLIBNO~ BQ HIM[ 842517302 :150. 00 42.00 1034.20 oOll ill 1. 1 ! 1i PACE DAT! 7/20102 M40! P L 0 W M 0 M 0 R 1 A L .N 0 6 P! 7 A' L ACCOUNTS RBCBIVABLB ACCOUNT BTATUS RBPORT R~ UU ~p qq NN pp ppMMgg p C p g ~gptCpgK INS N PATT1NT T TA►,ps~ ~p D~ ~HAR09 DA MRptQAIq M ffU CUNRBNT BAL~NCt L~ ♦1ND~ CTTPAT ~NOr~ OVARAfJIgRCXDnRE69R--'M 1N6 NUMOER R%C 3 42.00 N M g6NTgN TX 7620E Balance after Med1 a6d~f 4. J j i 1 V r ~ I 1 it r 1 ~•wr.~r~+M•w.~...wr.. u+..•~..n• r~•♦wwr~awws+~.".•~'.n.~.-ew••r♦.e.•••.wywn♦•rw~r•ew•a '°'•wrn"sF 1 it , M i p L O N M E M 6 R S A L H O S P I T A L PAGE 5 DATE 7/29/97 12:49: f ACCOUNTS RECEIVABL9 ACCOUNT STATUS REPORT SUMMARY 1r PATIENT CLASS COUNT PATTIaNT IN9UDAENCE TDUBL J r 2 l S S. 40 .00 119.40 D OUTPATIENT i 10 2740, :0 00 2740, 10 INPATIENT 1103 00 1103.25 I ,2D CMEROENCY 20 L 32 3961.75 1 I 3961.75 .00 J TOTAL ACCOUNTS RECSIVARLR 4 I ♦Mr11M TOTAL NUMBER OF ACCOUNTS IN ERROR IIM♦ »N♦ i 1 i I ~ k V I V i V J ! I1lt I ;1 ` 1 ~ 1( r FLOW M C M 0 R I A L HOSPITAL BALANCE SHEET JULY 31, 1982 Current Assets; 1982 1981 1982 Cash Operating Current Liabilities; 1-- -381-.. ' Interest & Oinking $ 96129 $ 131'298 Current Notes Payable $ 1721765 14,481 1,401 Accounts Payable 596,408 $ 713360 Reserve Fund 14,129 Re air Fund 20,412 35,460 Accrued Payroll 11847 14,033 Payroll Taxes 242637 338,145 Group Insurance 1,539 10010 Fees Payable 132,956 113,511 Investments/Board Designated _ 296j.398 1 195,787 173 ,114 71.,, 39.8 Bond Interest Payable 51977 4,228 I Bonds Payable Due Medicare _ 35,969 Total Cash & Investments $ 430,975 $ 35Q,600 Total Current Liabilities $ 1,3821499 $ 1,476,987 j Accounts Receivable $ 3 071,391 $ 2 5910258 Other Liabilities: Less: Allowances 423 682 10 199 Deferred Income j Net Patient Receivables g~ $ 68,176 $ 50,903 Long Term Notes Payable 478,767 .318,613 I€ Other Receivables Bonds Payable 430,000 495.000 Inventories $ 939251 $ 170,220 f' Prepaid Expenses 280,637 2889585 Total Liabilities $ 2,349,442 $ 2,341,503 6--,9. j 08 56.676_ Total Current Assets Capital: $ 3,5211680 $ 391503140 City of Denton $ 393,165 $ 3930165 Property, Plant & Equipment: County of Denton 1,696,871 1,696,871 # Land $ 37,547 Endowment Flow Estate 240,461 240461 ' 1 Building & Improvements 3 067 385 $ 379547 Fed, Grants, Hill-Burton 10868,910 1,868,910 k Furniture & Equipment '567'178 39033,782 Federal Grants 2560371 256,371 4 062 576 Pledges and Gifts 493,748 373,300 TFr T'141 ff$%- Gen. Fund Bal. Beg, of Yr. (686,770) (I,059,536) ( Accumulated Depreciation 4 139 998 _(3 767, Current Year 4T 31~5q 4p5~4gZ~ 508) Net Property, Plant & Equip, 3 522 2 $ 3 366,397 Total Capital 69Q 350 4 175 034 TOTAL OPERATING FUND 7 043 792 6 516 537 TOTAL OPERATING FUND 7x.43,792 6 516 537 Current ratio 2.56 t E Page 2 FLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT JULY 31, 1982 CURRENT MONTH YEAR - TO -GATE P RIOR Actual Budget Actual Budget Year-to-Date Adult Patient Days 21643 39069 27,811 30,098 28,826 Average Per Day 85.3 9910 91.5 99.0 94.8 Newborn Patient Days 462 49030 3,951 3,952 31480 Average Per Day 14,9 13.0 13.0 13.0 11.4 Gross Patient Revenue/Pt, Day $ 462;53 $ 327.01 $ 392,98 $ 362,64 $ 321.65 Total Expense/Pt. Day $ 324.18 $ 271,28 $ 334.11 $ 293.25 $ 274.34 Month Charier Bad Debt Recovery October $ 72,027 $ 49,546 $ 7,406 November 52,097 1580643 5,421 December 25,607 94,950 5,666 January 15,366 87,082 80998 February 88,795 71,137 5,034 March 36,925 84,005 8430 April 550591 76,375 13,831 May 41,835 91,069 69236 June 22,460 8v,444 69504 July 31962 8998E5 6,862 $ 384,666 $ 863,106 $ 72,678 % of Revenues 316% 7,8% 1,014 i I i Ir I I Page 3 FLOW MEMORIAL HOSPITAL STATEMENT OF OPERATIONS/JULY 31, 1982 1 % of Salaries Supplies Total Direct Operating 1 Revenue R venue & Benefits & Other Won ese profit (Loss) i Daily Hospital Care 14 ,86 1221~U $`-'4ollg 12700 1~" 40o823 Psychiatric Care 6 740641 31,742 10128 32,870 41,771 OM Post OMPost Partum 5 58,080 20,114 10017 21,131 36,949 32,175 19,579 866 201445 11,730 Nursery 3 31,424 13,219 29766 15,975 15,449 Neonatal Nursery 3 39,600 16,800 466 171266 22$34 Coronary Care Unit 3 36,797 30,518 2,553 331071 3,726 Labor & Delivery 3 41,576 24,703 6,649 311352 101224 Operating & Recovery 4 489630 241375 8,380 329756 15,876 Emergency Room 3 41,923 18,390 26,162 449552 (20629) Central Supply 7 84,262 81402 31,955 40,357 43,905 Laboratory/Blood Bank 11 1301510 47,139 47,139 83$71 Radiology/Nuclear Medicine 6 70,756 159103 19,430 34,533 36s223 Pharmacy/IV 16 1979268 10,961 45,402 56,363 1409906 J Anesthesia 3 410158 5,824 169906 22,630 180528 CardiopulmonAry 2 190616 6,869 7,483 14,362 50263 Respiratory Therapy 7 86,666 141136 99570 23,706 62,960 Physical Therapy 1 16 402 8 089 11474 ~9 563~ 6 3 Deductions of Revenue $ (45,639) $ $ $ $ (45,639 Charity & Bad Debt (138,128) - (1380128 Employee Health Ins, Ex , ; Medical Records p 21,500 21,500 21s500 431 11,616 1,738 13,26, 12,823 Gift Shop/Grounds Mtc, I,564 2,597 734 3,331 (1,767 J Cafkoria 99712 28,584 24,380 621964 43,252 1 Plant 17385 46 040 63t426 63 425 j Housekeeping/Security - 27;075 3,484 30,559 30,559 Laundry 60087 10289 7,376 (70376 Fiscal Affairs/Data Proc, 81217 4,737 12,954 (12,954 Business Office/Credit & Collections 241989 14,991 396980 390980 k Purchasing 10521 914 2,435 2,436 Personnel 30280 1,157 4,437 41437 Administration 61998 21632 9,630 90630 ; Quality Accuuntability - 10959 58 21017 121017 General & Administrative 613 35,522 350522 34,909 Depreciation 32 $36 32 336 3 3 r o447)' 1400269 191,512 131:720 0167) Gain (Lots) from Operation $ 919080 Non-Operating Revenue 33,707 33,707 Foundation 4 088 4,0$$ Total Iton fi9r $ 5310958 $ 4249863 $__256 821 $ 128,874 L z ilj FLOW M E M STATEMENT OF OPERATIONS/YEAR-TO-DATESJULY 311 1982 Page 4 % of Saleries Supplies Total Direct Operating Revenue -me nue & Benefits & Other Ex eases profit loss V-So 338 Daily Hospital Care -'18 9 $ 1w2lOo ' 7`693 , ,0 Psychiatric Care 6 618,980 298,370 7o 5O6 305,876 313,104 OB/Post Partum 5 5640497 173,812 12,485 186,297 378,200 ICU 1 169,775 162,852 100505 173,357 Nursery 3 325,830 112,199 24,596 136,795 189,635) Neonatal Nursery 2 211,245 1409398 3,871 144,269 66,976 Coronary Care Unit 4 433,219 3299142 31,374 360,516 72 703 Labor & Delivery 3 3499656 221,002 51,314 272,316 77,340 Operating & Recovery 4 4979585 203,266 95,062 298,328 199,257 Emergency Room 3 333,073 157,542 2239375 380,917 Central Supply 7 725,156 87,138 3220779 409,917 .(47,844) 239 Laboratory/ Blood Bank 10 1,047,397 480,956 480,956 5664 41 Radiology/Nuclear Medicine 6 682,370 159,315 167,339 326,664 3560716 Pharmacy/IV 15 1,647,252 109,867 373,340 483,207 10164,045 Anesthesia 4 Cardiopulmonary 2 393,326 128,367 690532 1,17,899 195 427 Respiratory Therapy 6 216,401 60,854 890484 150,338 66,063 Physical Therapy 1 647,205 1319377 72,347 203,724 443,481 $ 317, 'g76 109 458 6g47,47 0 9 5 74 3 715 Thysi -1 76 1-6 jU 31 j 76 TTq Deductions of hevenue $ (351,182 $ $ $ $ ($510182 Charity & Sad Debt (1,279 142 Employee Nea7th'Ins. Exp. 294409 29 (1 279,142 Medical Records 3,701 109,269 40600 294,609 Gift Shop/Grounds Mtc, 18 692 21 18,99 36 1280230 (1800 9 Cafeteria ► ,788 14,929 ,717 {18,025 plant 108,441 263,271 251,454 $200125 412 294 Housekeeping/Security 166,501 5480379 714,880 114,880 Houseke 277,472 409335 3170807 317,807 I Fiscal Affairs/Data Proces, 68,467 24,915 939382 (93,392 80,686 47,201 1270213 344 32 3' Business, Office/Credit & Collect, 238 ~ Purchasing ,686 105 47:201 344.,328 344,328 onnel 16,015 13,855 29,870 29 Pers ,$10 Personstration 37,037 27,760 64,797 64,797 AdAlityy'Accountability 65,529 210044 85,573 86,573 i General A Administrative 199524 31212 22,736 22,736 11 3,473 j Depreciation 301,419 301,419 279j 946 i 473, 7 $`L,T-7" 3 3 167 3 343 ! Qair' (boas) from Operation , f Non«Ope wing Revenue 287,451 103,18 Foundation 0 958 287,451 1 Total M. E,. 1'4, 'l;fi3 4 s -524 M ~ f f Page 5 FLOW MEMORIAL HOSPITAL SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS JULY 31, 1982 Current Month Year-to-Date Beginning Balance $ 2510083 $ 68j074 Cash Received From; Active Patient Accounts $ 969,986 $ 8,656,473 Bad Debt Accounts 5,852 72,528 Cafeteria 100200 1140241 Appropriations/Donations 82,003 446,106 Other 166,160 _ 10202,666 Total Cash 1 234 19 10 92 014 TOTAL CASH AVAILABLE $"1';74- 1 Cash Disbursements; Payroll $ 567,673 $ 4,382,865 Payroll Taxes 61,738 6229101 Patient Refunds 24,112 2200102 Capital Assets ;;1,698 4510833 Notes Payable 1'39,587 2719452 k Other 551,371 4,,512,640 f Total Disbursements _ 1L38 6,179 10.460.993 , Cash Balance $ 99$095 5 j CashTALICASHnvestments $ 29__ 2r3" 493 Gross Patient Revenue $ 11220,933 $ 10 9189691 Less; Allowances (67,791) Not Patient Revenue , 10,190,656 $ Cash Received on Patient Accounts $ 969,986 $ 8 666,473 1 Less; Patient Refunds (24,112 224 lO2 Net Cash on Patient Accounts , , Cash Received as a % of Revenue 81,3% 82.8% i 1 t 1 i' I1 k p Page 6 FLOW MEMORIAL HOSPITAL AGED ACCOUNTS RECEIVABLE SUMMARY JULY 31, 1982 Primary Payor Current 31-60 61.90 91-120 121-150 150+_ Total 1 of A R Medicare $ 2009202 $ 21,721 $ 41696 $ 31663 $ 6,169 $ 14,643 $ 250,094 1012% Medicaid 24,125 20,533 29,498 25,015 21930 12,722 114,823 4.7% Blue Cross 64,038 18,168 41328 297 60 861891 3.5% Commercial Ins, 2820500 1429992 62,429 34,759 2,239 129003 636,922 21.9% Self-Pay 260,666 263,018 129,459 159,906 969785 176,516 1,086,339 44,2% 130 706 78,563 63,131 _ 44,459 27,980 63,347 381,186_ 15.5 Balance after Ins. 935 227 5 4 995 293 541 $ 268,098 ^135 163 279 231 $ 21456,255 100,0% 665, 2,67. In•House ~3~121.522 TOTAL A/R j A/R BY % 38.1% 22.2% 12.0% 1019% 5.4% 1~.4% 1 Number of Accounts: 69758 Days of Revenue; i Accounts Receivable 68.4 In-House 09 . j x ll i 1 t i t a Page 7 FLOW MEMORIAL HOSPITAL HOME HEALTH BALANCE SHEET JULY 31, 1982 ASSETS LIABILITIES Cash $ 17,588.12 Accounts Payable $ 242,93 Accounts Receivable 79,429,60 Payable due Flow 3,346.60 Total Current Assets $ 97,027.72 Accrued Payroll 31640,82 Total Liabilities $ 7,230.26 EQUIPMENT CAPMAL Furniture & Equipment $ 1,615,00 Pledge & Gifts $ 90,00 j Less Accumulated Depreciation 897.20 County Home Health 66,918,66 Net Equipment $ 717,80 Retained Earnings _ 33,!1,9,,61_._ Totr,1 Capital $ 909505.27 TOTAL OPERATING FUND $ 97,736.62 TOTAL OPERATING FUND 97 36, 62. j 4 E a { Bf f i S } 5 f: ' I M I f Page 8 r FLOW MEMORIAL HOSPITAL H0 ME HEALTH J STATEMENT OF REVENUES AND EXPENSES JULY 31, 1982 ; 1 Month Year-to-Date REVENUES Patient Revenues $ 29,216,05 $ 210,708,27 Deductions of Revenue __L 2j 5 27 39 .34 { Net Revenues $ 260838,40 $ 183,312,93 s _ I { EXPENSES j Payroll FICA Expense $ 18,083,43 $ 1250769,59 Supplies 799,90 10,662,74 ' Travel 20546.60 10,987,76 i Employee Benefits 268.61 1,599,04 j ' Depreciation 89,72 897920 i Net Expenses $ 21,788,16 $149581642 Excess of Revenues over Expenses $ 5,050124 33 49b,6a 5 y j l.Eik WW BOARD OF DIRECTORS BUSINESS MINUTES Dele - tune 21, 1979 .2 The Utilization Review Report was submitted and discussed. Mr, Watson explained that Medicare, Medicaid, and non-governmental admissions and lengths of stay cases had been reviewed and appropriately handled, Or. Hilz moved that the Utilization Review Report be approved; this was seconded and passed by voice Vote. Mr. Watson reported that the leak from the cooling tower has stopped after having installed a lip around the top of the tower. No immediate damage has been noticed. Mr, Hilz proposed that the Finance Committee discontinue their regularly scheduled meetings and instead meet on an as-needed basis. Mr. Hilz explained that the financial reports are mailed to all of the Board members, including the Finance Committee members Wor to the meeting, so that the reports can be reviewed priur to the Board meeting. stated that it is unnecessarily repetitive to review in detail the financial state- ments at both the Finance Committee and the Board Meeting. It was agreed that the Finance Committee should discontinue meeting on a regular basis and meet only when it is felt to be necessary. . ' . r d , h 14,., i r... ar.... ~Sy .n,4J y U.dyl{}yNrtf.nhr 1"w: , .r .r. ~W W. Mr. Watson reported that the members of-the Medical Advisory Committee had bean notified of their appointment and that a meeting will be scheduled in the near futurA, Dr. Finlay commented that he would hope they would have an opportunity to meet befoi J the July Board Meeting and that they be charged with responsibilities. He suggested that some of their responsibilities might be: make suggestions for new services; evaluate new services; receive comments from the chiefs of the medical staff .defpartment v and evaluate new uses for present hospital space. Subsequent to the organization of th Medical Advisory Committee, it-was.tisuggested that the Finance Advisory Committee meet f with the Medical Advisory Committee. The meeting was adjourned at 9:00 p.m. for an Executive Session to discuss personnel matters. 41 EXECUTIVE SESSION The Board of Directors re-convened in Executive Session to discuss some personnel matters, pursuant to Article 6252.17, Section 2 (9) V.A,T.C.S. Mr, Watson announced that the Director and Associate Director of Nursing Servic(-"', had been terminated; an Acting Director of Nursing Services had bean appointed. He explained some of the conflicts during the prior nursing administration and indicated that currently this change has had a settling effect on the nursing staff. Mr, Watson outlined a proposal to employ a Chaplain through the Denton Ministerial Association. He explained that a chaplain has been working on a hart"time.basis during S the past two years with no expenditure of funds since West ate Hospital and the Denton Ministerial Association divided the salaryy, The proposal is that Flow would contribute $360/month for the first year of the chaplain's employment, $250/month for the sedond year, and $160/month 1oK.the third year, After the,thhird year, the entire salary would e paid by the Denton Ministerial Association. Mr, Watson explained that he felt that this was a good program and recommended the approval of the proposal, Mr. Shelton moved that the proposal be approved; this was seconded and passed by voice vote. j The meeting was adjourned at 9f30 p,m. 5 E~E Respectfully submitted, Gray Shelton } Secretary f. gm . ,p Sr b-AIN rr.,vi.a Rl e,n ee etrrrv irrire n rw....wrw,t lr7~' mu il. ' ~..r ww mwrte ..r....-y e..-ai. r... . .r..,..a... wvw.w NM,Yx1 MK.vMe11NfA ( j BOARD OF DIRECTORS BUSINESS MINUTES oar. June 21, 19197C The Board of Directors of Flow Memorial Hospital met in reguFP on Thursday, June 21, 1979 with Mr. A. E. Wyatt, Chairman, presiding. Other ers present were Or. A. M. Finlay, Mr. George Hilz, and Mr. Gpresent were Mrs, Wilma Fritz, Mrs. Sid Graham (Public InformatioGloria Madewell, Or. J. Hampton Miller (Vice President of the MedLeonard Watson, The minutes of the previous meeting were reviewed and approved as presented. Mr. Watson introduced Mrs. Graham, who has been employed as Public Information Coordinator, Mrs. Graham will be responsible for public relations activities for the hospital and will also assist the Foundation with their public relations activities. Mr. Hilz asked Mrs, Fritz to review the Monthly Financial Report and the 'financial statements, The average daily census for the month of May was 77.9. With the increase in revenue of $46,000, the excess of revenue over expenses for the month was $18,905. Mrs. Fritz present d the Charity Charoo-6ff~U st in the amount of $4,804.19 and the Bad Debt Charge-Off List in the amount of $615391,24, Mrs. Fritz commented that the low charity amount is probably due to the proper clarification upon the patient's admission -1 of his eligibility as a charity classification, Mr. Fritz stated that the average dail ,.t cash receipts has increased $2,000 per day,compared to 1976. Dr. Miller commented that the new ruling concerning maternity benefits in health A nsurance programs Will probably help to increase the cash receipts since maternity benefits will now be included on the programs. There was also some discussion concerning bad debts from other counties as Well as from foreign students, Some suggestions were made concerning methods to collect the bills from the foreign students, and Mr. Watson commented that he had received replies from the county dudges~,of Cooke and Wise County concerning paymant of their residents' hospital bills--they had indicated that no funds were available in their counties for indigent c:re, and the Wise County Judge indicated that his county's residents should be utilizing their own hospitals. Dr. Finlay moved that the financial statements and charge-off lists be approved; this motion was seconded and passed by voice vote. , The minutes of the Joint Conference Committee were read by Mr. Watson, who reviewe the law suits pending against the hosppital. He reported that the medical staff had 1 failed to act on the question of whether or not to require malpractice insurance for all physicians since a quorum had not been present at the meeting where it had bean proposed, Mr. Shelton moved that the Joint Conference Committee Report be approved; I\ J this was seconded and passed by voice vote, Mr, Watson presented the Administrator's Report and briefly discussed the conflict between the City and the County concerning the responsibility for indigent care--1694, funds for Flow Hospital, It was agreed that there was no preference concerning whether it 1s the City or the County or a combination of both who provides the funds, Dr. Finlay moved that the Administrator's Report be approved; this motion was seconded and passed by voice vote. Pn.tho)absence of Dr, Dowling, Dr, Miller presented the Medical Staff Report and reviewed the minutes of the Medical Staff's Executive Committee Meeting held on Monday, Dr. Miller explained that a quality control survey is being conducted on the readings o electrocardiograms, Or, E. R, Burkhalter had submitted his resignation from the Courtesy Medical Staff, and this had been accepted. The minutes of the Joint Medical Staffs Meeting held on Tuesday were also reviewed. Dr, Finlay moved that the Medical Staff Report be approved, including the resignation of Dr. Burkhalter; this motion was seconded and passed by voice vote, ) t X75-3 a .W11044116r,NIM.,1449+, nu,u, 1 { ~yBUARU OF DlhWO~ BUSINESS MINUTES Pate May 24,_ 1979 Page 1 ' rhe Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p.m, on Thursday, May 24, 1979 with Mr. A. E. Wyatt, Chairman, presiding. All other Board members were present--i.e., Dr. A. M, Finlay, Mr. George Hilz, Mr, Brad Moore, Mr. Billy Self, Mr, Gray Sholton, and Mrs, Mary Williams, Also present were Mr. Rance Cotton, Or, J. K. Dowling, Mrs. Wilma Fritz, Mrs, Gloria Madewell, Mrs. Lou Nelson, and Mr. i Leonard Watson. Tne minutes of the previous meeting were approved as presented. Mr. Wyatt Introduced Mrs, Nelson, a member of the Foundation Board of Director;, and explained that she had been invited to discuss some matters pertaining to the Foundation and to bring the Board members up-to-date on the progress of the Foundation. Mrs. Nelson explained that the Foundation Board feels that they need additional publicity to better inform the public (as well as the physicians ana other persons closely associated with Flow Hospital) of the programs of the Foundation. She stated that some future projects will probably be letters to all physicians detailing the progress and plans for the Foundation, a quarterly newsletter to all donors, and radio advertisements, There was some further discussion concerning the need for publicity for both the Foundation and Flow Hospital, and Mr. Self volunteered to work with Mrs. Nelson concerning publicity. It was agreed that better publicity would also be beneficial in relationship to the staff physicians and future physicians. Dr. Finlay stated, and the other Board members agreed, that the Foundation Board of Directors should be commended for their service to Flow Memorial Hospital. Mr, Moore reviewed the minutes of the previous meeting of the Flow Foundation and s, reminded the Board members that the Foundation had agreed in March to purchase the $81,465 monitoring, telemetry ,defibrillator, and beds for the now Coronary Care Unit. Mr. Moore reported that the Foundation's Nominating Committee had recommended that E ! Mrs, Mary Williams be recommended to the Flow Board of Directors to fill the vacancy on the Foundation Board created by the resignation of Mr, Bob Nichols, Dr, Finlay moved that the Board of Directors appoint Mrs. Williams to the Flow Foundation Boards this motion was seconded and passed by voice vote. Dr, Finlay also moved that the report from the Foundation be accepted; this motion was 'seconded and passed by voice vote. I Mr. Cotton reported that he had received three bids for straightening the leaning cooling tower. He added that none of the bids were from Ragsdale Sheet Metal since he E had been informed by that company that they were not interested in bidding on the project I Mr, Self and Mr. Moore, however suggested that Ragsdale be contacted again; Mr, Moore, } in fact, stated that he had talked with Mr. Ed Ragsdale, who had indicated that his com- pany could do the job, In that it was agreed by the Board of Directors in April that an additional lip should be installed on the basin as soon as possible, the Board asked Mr, Cotton to proceed with the original su ggestion, Mr, Cotton explained that the j additional lip to the basin would add addi~9onal weight to the leaning super-structu e and thereby adding additional imbalance to the fan and transmissions. The Board members, s however, agreed ..that the original decision made in April should be carried out o that the immediate problem of drainage can be remedied, Mr. Cotton was asked to report back to the Board 90 days subsequent to the installation of the additional lip to the basin; at that time, he can present the bids for straightening the tower and report on the ~I the effectiveness of the additional lip, Mr. Hilz asked Mrs. Fritz to review the financial statements, She sported that ` the average daily census for April was 78, and ,year-to-date the average dal y census is 82,8, Excess of expense over revenue for the month was $120764, with an excess of expense over revenue, year-to-dato, of $118,924, Mr. Fritz reported on the status of the new employee insurance coverage and that currently the money received from the employees for dependent coverage inadequate to cover all expenses to other facilities, j . ra; 1 { YBii i bUARO OF UIRECIORS BUSINESS MINUTES oel+ Ma __24 1979. Peq, 2 The Charity Charge-Off List in the amount of $33,024.80 and the Bad Debt Charge-Off list ov~ In the amount of $33,042.96 were reviewed. Mr. Shelton commenteJ_that the Board had suggested previously that out-of-county charity cases would be billed to the county in which the patient resides. There was some discussion concerning whether or not this had been implemented, and it was generally agreed that if it is not currently being done, the the county judge in the patient's county should be sent the bill for the charity work. Mr. Shelton asked about the increase in accou+~ts payable, and Mr. Watson explained that the bills had been delayed to the patients during the computer conver- sion; however, this has been brought up to date, and accounts payable should decrease markedly, Mr. Wyatt commented that the Collections Department is apparently doing a tremendous job. Mr, Hilz moved that the Finance Committee Report, the financial state- ments, and the charge-off lists be approved; this motion was seconded and passed by voice vote, The Utilization Review Report was presented and reviewed. Medicare, Medicaid, and non-governmental admissions and lengths of stay had been reviewed and ,justified. Mr, Watson reported that the Denton Benefit League had donated $6 200 to purchase a Ritter Table for the Emergency Room, as well as two blood warmers. Additionally, the Denton Benefit League had agreed to make Flow Hospital one of the benefactors,.of the fund raise(! next year, Mr. Watson reported that there is pending a law suit aggo ns' the hospital relative to a birth in 1977; he will keep the Board Informed as furch,j, develop- ments take place. The Texas Health Facilities Commission has informed the hosp'tal that the exemption certificate for the coronary care equipment (monitors and telemetry) has been approved; preparations can pproceed now for the opening of the unit, Mr. Hilz moved that the Administrator's Report be approved; this was seconded and passed by voice vote. Dr, Dowling reviewed the minutes of the Executive Committee Meeting. He reported that a physician had btien placed on probation and would be required to have a consulta- tion on all admissions until his personal problem has been remedied, Mr, Wyatt commented that the medical staff is doing an excellent job in assuring that all physicians provide a high level of patient care within the hospital, Dr. Dowling reported that Dr. H. L. McBrayer's application for re-appointment to the medical staff had been approved by the II Credentials Committee and the Executive Committee since Dr. McBrayer's delinquent charts have been completed, The Executive Committee had received a letter of resignation from the medical staff from Dr. A. S. Wiley, who is rejoining the Navy and will be leavfng Denton July 1, 1479, The Board members agreed that a letter of appreciation for Dr. Wile ' service to Flow Memorial Hospital should be presented to him prior to his departure, i Dr, Finlay moved that the Medical Staff Report, including the re-appointment of or. + McBrayer to the Active Medical Staff be approved; this motion was seconded and passed by i voice vote. Mr. Watson reported that there are some changes beingg made in the Nursing Admini9tra tion Office whereby some of the office staff will be utilized on the nursing units. This change will reduce the nursing budget somewhat and not decrease the lever of nursing care. Subsequent to an inspection of the roof by the insurance adjusters, the roof ,has been repaired and is no longer leaking, Mr. Watson stated, however, that the roof will still j need to be replaced at some future date, Mr, Watson announced that the annual convention of the Texas Hospital Associatiuo will be held in Dallas June 4, 6, and 6 and urged the members to ottene some of the sessions, It was agreed that the newly appointed Medical Advisory Committee should be contacte and informed )f their appointment to that committee. It was also aggreed that this new committee and the Finance Advisory Committee should schedule a meeting in the near future I . t I 1 . II j .,.w na in .a.n i. i `r r ti . „ i~ 10~ 1 BOARD OF DIRECTORS BUSINESS MINUTES oa~e May 24 1979 Pago The proposed 1980 Financial Plan was presented and discussed, Mr. Watson stated tha the budget had been reviewed by the Budget Advisory Committee of the Medical Staff and the Executive Committee of the Medical Staff--both groups had approved the budget with some minor alterations, Mr. Watson summarized the budget and noted that it was based on an average daily census of 84. The budget included an allowance of 10% increases in supply costs and a 7% increase in salary expenses, In a pp Vo untary Effort, no increases in charges are included in the budget-.chargestcould be raised, however, later in the year if necessary. Also included in the budget is a contri j button from the City and County in the amount of $325,000 to compensate for charity work. The budget was discussed and reviewed, Mr, Watson stated that prior to the planned salary increase for the first of October, he would ppresent a salary administration plan to the Board of Directors for their approval. Mr. Moore moved that the proposed 1980 I Financial Plan be submitted to the City of Denton and Denton County for their approval, this motion was seconded and passed by voice vote, The meeting was adjourned at 10;30 p.m. Respectfully submitted, Gray Shelton Secretary gm i , i i i f S I I 1 I t i ! j I i I ! w ..+ww f' A BOARD OF DIRECTORS _ BUSINESS MINUTES Dena A ril 19, 1979 Pago 1 The Board of Directors of Plow Memorial Hospital met in regular session at 7.00 p.m. on Thursday, April 19, 1979 with Mr. A. E. Wyatt, Chairman, presiding. All other members ( were present--i.e., Dr. A. M. Finlay, Mr. George Hilz, Mr. Brad Moore, Mr. Billy Self, Mr. Gray Shelton, and Mrs, Mary Williams. Also present were Mr. Rance Cotton, Dr. J. K. Dowling, Mrs. Wilma Fritz, Mrs. Pam Gray, Miss Holly Hervey, Mrs. Margaret Lester, Mrs. Gloria Madewell, and Mr. Leonard Watson, t Mr. Wyatt Introduced Mrs. Williams, who had recently been appointed,by the City of Denton to fill the unexpired term of Mr, Bob Nichols, or until September"30; 1980. The minutes of the March 22, 1979 meeting G.ere presented and approved. As part of the report from the Finance Committee, Mrs. Fritz reviewed the financial status of the hospital at the end of, the first six months of operation for this fiscal year. Net expenses over revenue for the six month ppaHod is $106,160, compared in 1978 t a net excess of revenue over expenses of $55,880. Mr. Watson outlined some of the steps which will be taken to offset the deficit--i.e „ some departments will be reducing the number of employees; Nursing Service will utilize less part-time em loyees and use Nursin Administration employees to fill-in for the part-time employees. These steps will not, however, affect the quality of patient care. Mr. Watson was also optimistic that the collection percentage will continue to improve. Mr. Watson and Mrs. Fritz commented that they had reviewed the allowance for bad debts, and due to the current collection rate, they felt that the allowance for bad debts could be lowered from 16% to 14%. It was the consensus of the Board that no action be taken at this time but that the matter be review d' again at the end of the year, and then, if indicated, an adjustment could be made. Mr. Watson stated that the excess of pxpenses,over revenua would not be so great if the allowance for bad debts was lowered. Mrs, Lester added that currently With the new Out.. Patient Clerk, an average of $460,00 daily is befog collected which in the past would hav been essentially ancollectible, The Charity Charge-Off List in the amount of $140044.45 aqd the Bad Debt Charge-Off List U the amount of $61,468.86 were reviewed. A discussion followed concerning the high percentagge of the bad debts which are maternity cases. Mrs. Gray stated that this might be lower if the physicians would cooperate more by informing their maternity patients that they need to come to the hospital to make arran ements be» fore delivery time to pay for their.bill. Mr. Hilz moved that the Report of the Finance Committee be approved, including the financial statements and charge-off lists, this motion was seconded and passed by voice vote. 1 The minutes of the maeting of the Safety' Committee were presented and reviewed by Mr. Watson. He indicated that the Safety Committee had recommended some safeguards for transpporting patients by guerneys and had recommended that an emergency call device be installed in the x-ray rooms, Mr. Self moved that the Safety Committee Report be 3 approved; this motion was seconded and passed by voice vote. The Utilization Review Committee's minutes were presented and reviewed. In February 77 Medicare, 12 Medicaid, and 23 non-governmental admissions were reviewed and justified, as wall as 34 Medicare and 4 Medicaid extensions of stay reviews. ' Mr. Watson commented that a survey had been conducted last weak by the Department of Health, Education, and Welfare concerning the ut,tlization review program; the outcome of the survey had been good, Mr. Shelton moved that the utilization Review Committee's report be approved; this motion was seconded and passed by voice vote, ! In the Administrator's Report,'Mr, Watson informed the members of two pending suits against the hospital. He will keep them informed of any further development on this, Mr. Watson repported that he had talked with the vrchitects concerning the possibility of r a professional office building adjacent to the, hog1 tal. The hogpita's financial obliga- t1on for the building would be according to occupancy of the building. It was suggested that a feasibility study would be in order and that the Medical Advisory and Finance r Advisory Committee could stud this.J Mo re comm e~' th due to the convenience or, Ms to the physicians, the c9nsus m' be ~ncreasea ravora, y. Lill Yc , a .2~ . ' . ~]Y6 'S•. I BOARD OF DIRECTORS 1 BUSINESS MINUTES Date April 19 1919 Page 2 As a part of the Medical Staff Report, Dr. Dowling reviewed the minutes of the Executive Committee, which had met on Monday. Some problems concerning an incident in } the Emergency Room and staffing of the Labor and Delivery had been discussed, and the problem involving an x-ray technician had been remedied, Dr. Dowling reported that the r Critical Care Committee and subsequently the Executive Committee had approved "Routine J Coronary Care Orders," which will be available in the Intensive Care unit and later when opened the Coronary Care Unit. Applications were presented from William Edward Sanders, M.D, for appointment to the Active Medical Staff.with privileges in orthopedic surgery and Eugene Boynton, D.D,S~ for appointment to the Dental Staff with privileges in general dentistry were reviewed. Dr. Finlay moved that the Medical Staff Report, including the t applications from Dr. Sanders and Dr. Boynton be approved. This motion was seconded and, passed by,yoi ce vote. the "Rules and Regulatigns of Dr,;-Dowling presented and explained 1amendments toe p [ the Medical Staff' and"By-Laws 'of the Medical Staff." stated that these changes had been approved by the Rules and Regulations and.Bylaws Committee of the Medical Staffs the Executive Committee and the Medical Staff. Dr, Finlay moved that the Board of Direc ni approve the amendments, amendments attached); this motion was seconded and passed by voic i`- • Vote. yYaa'II``j', r f •.,f l~~ i'~ I ~l { 1 _ ~f~;~f;~<~~~ti 1. , I f~ ~a l ..~K .hI rll: a~.4., , Mr.~'Cotton explained the current condition of the cooling tower and the continued deterioration which can be expected. He explained that the tower is leaning due to th base of the tower being-only partly constructed on sandstone; this leaning of the towl causes.water to spill from the top, eroding the ground and causing an excessive run-oft of water into the street, Several alternative solutions were discussed, Mr. Moore moved that an:add.itional 11p be installed on the basin as soon as possible and that Mr. Cotton secure additional bids for straightening the base of the tower, This motion was seconded r ( and passed by voice vote. Mr, Cotton also reviewed the damage to the rpof--especially the roof covering the B portion'of the hospital'. The:Board members.viewed the damagge occuring on 38 and the leaking, The Board agread that the damage to the roof needs immediate attention, It f was agreed to have the roof fixed for replaced1 if the insurance company pays for the damage. If the hospital is liable for tha cost of fixing or replacing the roof, then the Board members asked Mr, Watson to so inform them so that they can act on the matter. Mr. Watson announced that the survery by the Joint Commission on Accreditation of Hospitals has been scheduled for May 3 and 4, 1979. He stressed the importance of the Board's attendance at the opening conference, the conference for the Board, and the summation conference, , A slate of members for the Medical Advisory Committee was proposed--i,e.,, Dr, D. H. Bailey, Dr. K. L, Ford, Dr, J, D. Harvey, Or. a. E. Holladay, Or, H, M. McClendon, Or, T. V, Patterson, and Dr. T. J. Thomas, Dr, Finlay moved that these physicians be appointed to the Medical.Advisory Committee; this motion was seconded and passed by voice t vote. Mr. Watson announced,that a proposal to amend the funding of the Texas Health Facilities Commission whereby they would be funded by certificate of need appplication fees instead of state revenues had been introduced into the Texas House and Texas Senate, He explained that this` proposal if'ppassed would greatly increase the costs to hospitals needing certificates of need, Mr. Self moved that the Board oppose this and to notify our State Representative and State Senator, The meeting was adjourned at 9:30 p.m, Respectfully submitted, • rj • Gray Shelton, Secretary y; E fi (,i wBOARD OF DIRECTOR5 Page BUSINESS MINUTES Dade March 22, 1979- - y =M- n~( tors of Flow Memorial Hospital met at 7.00 p.m. on Thursda March The Board of Direc 22, 1979 with Mr. A. E. Wyatt, Chairman, presiding, Other Board members present were Dr. A. M. Finlay, Mr. George Hilz, and Mr. Brad Moore. Also present were Dr. J. K. Dowling, Mrs. Wilma Fritz, Mrs. Pam Gray, Mrs. Margaret Lester, Phis. Gloria MadewelI, and Mr. Leonard Watson. The minutes of the previous meeting were presented and reviewed. Dr. Finlay moved that the minutes be approved as pre:eoted; this was seconded and passed by voice vote. Mr. Wyatt announced thathe had received a letter of resignation from Mr. Bob Nichols who stated that he did not have the time to spend serving on the Board since he is involved with the establishment of a new church in Denton. Mr. Wyatt added that the City Council has been notified of for. Nichols' resignation and will appoint a person to fill the vacancy. Mrs. Fritz reviewed the financial statements and the monthly financial report. She reported that the average daily census for February was 76.7 and year-to-date average daily census was 83.0 patients. She noted that the month ended with a net loss of $6,253 and year-to-date net loss of $72,276. Mrs. Fritz discussed some of the methods the departments utilize to reduce expenses during low-patient-census days. Recovery of bad E debts, is increasing. There were no Charity Charge-Offs nor Bad Debt charge-Offs for the month. Mr. Watson expressed his optimism concerning the hospital's management of the Cardiopulmonary Department and the expected increase of revenue to the hospital. Mr. Hit f moved that the financial report and financial statements be approved; this motion was 7 s seconded and passed by voice vote. The proposed engagement letter from Touche Ross and Company to perform the 1978.79 audit for the hospital was discussed. The fee for this audit would be $11,600 plus out i { of-pocket expenses. Dr. Finlay moved that Flow Memorial Hospital engage the firm of Touche Ross and Company for another year to perform the 1978-79 audit at the fee stated; This motion was seconded and passed by voice vote. The minutes of the Flow Memorial Hospital Foundation Board of Directors meeting were reviewed by Mr, }ilz. He reported that the Foundation had selected a Nominating Committee to recorranwnd -omeone to fill the vacancy created by the resignation of Mr. , Nichols, Mr. Hilt also reported that the Foundation had approved the purchase of $84,465.50 wuI *•h'of equipment for the new Coronary Care Unit--specifically, a I.ifepak 6 at the cost of $6,406,80, 4 coronary care beds at the cost of $12,440.00, and monitoring and telemetry equipment at the cost of $65,618.70, The Foundation agdethatotreimbundatiu I the hospital roved-, for the of the by voice vote. I Report a app Mr. Moore, presented a resolution which would authorize Mr. Watson, the Administrator, to execute and siggn a note in the amount of $84,465150 at 7% interest in favor of First State Bank of Denton and to pledge the new coronary care equipment as collateral (see attached resolution). Mr, Moore moved that the resolution be approvedl this motion was I' seconded and passed 6 voice vote) there was a discussion concerning the Foundation's capabilities for providing It equipment and methods of raising additional funds for e.luippmant, Or, Finlay stated that he feels it is important that an on-going program be e:,tabll,had for fund-raising and ~ r that the Finance Advisory Committee bo re-vitalized", Mr. Watson agreed to present some- thinat the next meeting concerning the Finance Advisory Committee and the Medical , Advisory Committee. { r. 4 The minutes of the Safety Committee were reviewed and presented. P1r. Watson explain- 3 t. ed that the Safety committee had been meeting for several years and has recently added a i ,f ~:.-rz•s~s_.:r~~nur~.x+.msx*r*cr•as~~rs~=srs.. ~rair~ rn ilea it V,1.1 r >r~'.~al>S.lro.1 .~113tat rrn14004. ,Kale CC 1Ito V%, ILLlrrll ...,_.a..: ~ loll IS.A1 b )3)3[ r 13 •;r '}.tom' 1., J I .r t y'{ ,l~l' s'I ~'r7 [qK BOARD OF DIRECTORS_ <v/ BUSINESS MINUTES oats physician to its membership, Mr Watson explained y ^ the purpose and function of the commit . , l tee and the importance it plays in reviewing all incident reports and reports on fire ( drills and disaster drills. The minutes were approved as presented. lJ Mr. Watson reviewed the minutes of the Utilization Review Committee, Medicare, Medicaid,, and non-governmental admissions and lengths of stay had been reviewed and ,justified. Mr. Moore moved that the minutes be approved; this wa seconded and passud I, by voice vote. Mr. Watson announced that he had been contacted by an architectural firm that is interested in building an office building adjacent to the hospital. There was some dis- cussion concerning the advantages of such a building, Mr, Watson will meet with the I architects and obtain more detailed information. Mr. Watson announced that the hospital had received a $500 donation from the McAllister Vending Company. ` Dr. Dowling reviewed the minutes of the Executive Committee Meeting and presented five audits which had been approved--i.e., duodenal ulcer; diabetes mellitus; essential hypertension; excision of lesion, breast, genign; and head injuries, including mild con- cussion. These audits were reviewed and approved by the Board following a motion frlrs° a Mr, Moore, Mr, Watson presented four proppcsed amendments to the Bylaws of the Board of Directors, These amendments establish how committee chairman for the Finance ro.rmlttee, Joint Conference Committee, Fl nanc6 Advisory Committee, and Medical Advisory Committee are selected and the lengths of t'ia terms. These amen dements were discussed and approved, following a motion from Dr. Finlay. (amendments attached) Cho proposal from General Telephone Company to install a new telephone' system at l Flow Memorial Hospital was discussed. The basic charge for the new system would be j i $3272,35 per month. Mr. Moore moved that the Board approve the installation of the new telephone system; this motion was seconded and 'passed by voice vote. i Mr, W,tsor, expplained that due to the time devoted to the new computer installation, he and Mr'"ti`a!itz had not had an opportunity to discuss implementing new internal control as suggea . by Touche Ross, 1 Mr, !,atson stated that he had reviewed the currynt contract with I'hyaical Therappy Associated, Inc. and considered the advantages of operating this departmont within tha hospital He reported that he would like to give physical Therapy Assooiates not ice of termination of contract on September 30, 1979 and to operate the dopartment without an ! outside contract, The advantages, Mr. Watson explained, would be that there would be l ` no reduction in service or revenue and expenses would be reduced to possibly savingg I, $20,000-$26,000 per year, Mr, Hilz moved that for. Watson advise physical Therapy Associa tes of the hospital's intention to terminate the contract; this motion was seconded and passed by voice vote, The meeting was adjourned at 9.30 p.m. i Respectfully submitted, A. •[ll I A. E. Wyatt, Chairman r' { and Acting Secretary gm '+ik+ i t it k•,. ..A~3YY.:1`.SLrYY•~YGY:w2"SfY.4Yt:ft.Y3:L.:YC'S'J:.-+'f.Yf1'YP.r Y1S.Yl:!~.'YKW1:.!:.1„M~tYJY~YG~.t:^.:Y.T.`YY'^St IIYtCLNL'li'JY~[Y.::1Y~C'CY~'C.~.1="4ddl2C?G'T . ' 101, ~.~~0 Ox I11CUV RIOH E9 VIUI.t1. ILIIV b4 MIII t01Y Y.1.1 r._ ....rq.a...w.~ rr+n....-......-. ...r. r.wb/M1yy,Y,~A / 1't i ri: I I i r R~.. ~ 4 tliWt p i E ~ a~'~u. 6aQd~u, Tiua~ F' L O ~,N ~ H O E3 PI r3ro scRraXXtuRe T1~.~ (S~7j3H~7~5861s f Among other Items of business discussed ~ at the regu)ar ~ meeting of the Board of Directors of F)ow Memorla) Hospital ` ~ on Thursday, March 22, lg)g, the foi)owing resolution was adopted: That the Administrator, Leonard E. Watson, be I authorized to execute and sign a note in the amount of p4'. X84,465,50 at 7~ interest in favor of First State Bank of °Cbnton, Texas and to p)edge the fo1)owing equipment as ' col)atera); ° i.,' 8-station telemetry unit ! ~ ~ 4~statfon coronary care manitoring equipment l :r~ , << 4 coronary care bads Lifepak 6 (monitor/defibri))ator} ~~~r~. , r, 5wP i } rr~•;;~ #t< s ' rj'~ i r tH'~ . , J~' i„ ~ ~ i qt~r+ ~ ~ i 8oerd o~aD rectors n ~ ~ a ~ rr ~ ~ ~ ' _ _ . . ; ~~.4`,~. it , ~t~ t . _ , ..e.,µ ~ , y~i~;l ,t: , " ~y~ ~~r py ~ r',~ ' 1' ~H, ~ yr" ~ ~ ' i, ~ r r w~ ,r, , r~ X ~ 1-4 ~ ~ k iv .1, ( ~ -I COARD OF DIRECTORS BUSINESS MINUTES n°to February: 2Z_,,.1979 The Board of Directors of Flow Memorial Hospital met in regular session on Tuesday, February 279 1979 with Mr. A. F.. Wyatt, Chairman, presiding, The meeting was called to order at 7:00 p.m. Board members present were Mr. George Hilz, Mr. Brad Moore, Mr. Bob Nichols, and Mr. A. E. Wyatt. Also present were Mrs, Pam Gray, Miss holly Harvey, Mrs. Wilma Fritz, Dr. S, T. Love, Mrs. Margaret Lester, Mrs. Gloria Madewell, Mr. Norman Schwolert, Mr, Leonard Watson, and three reppresentutives from the audit firm of Touche Ross and Company Mr. Bob Grant, Mr. Brian Mco, and Mr. Don Magner. The minutes of the January 18, 1979 meeting were approved as presented. Mr, Hilz asked the representatives from Touche Ross to present and review the audit report for fiscal year 1971-78. Mr, Wagner reviewed the financial position of Flow Memor ial Hospital as depicted in the audit report. He explained that the major difference noted between the audit report and the unaudited financial statements for the end of the year is the incorporation in the audit of the loss in the conversion of the computer in the amount of $65,000 and the $90,000 amount due to Medicare as a result of the Medicare Cost Report recently completed. Also, Mr. Wagner explained the contents of the managor-I letter and the recommendations made, Mr. Hilz moved that the audit report be approved, this motion was seconded and passed by voice vote. The gentlemen from Touche Ross then loft the meeting. The recommendations made by Touche Ross and Company were discussed. Reg,rrdinq recommendatlMi #1, Mr, Watson stated that he will establish some written accounting policies and procedure statements to facilitate the consistent accounting treatment t of similar tyre accounts end/or transactions, Currently this is being done; however, there are no written procedures, Regarding recommendation N2, Mr. Watson stated that the input!:rutput batch control log in the data processing function will be tested 1 s routinely to verify the acceptance by the computer of the transactions entered. Regarding recommendation #31 Mr, Watson stated that he will review the matter and try to better, j segregate the responsibilities and duties so that not one person is in complete control of a transaction. Regarding recommendation #4, Mr, Watson stated that the recommendation concerning inventory procedures will be 'implemented for the next inventory. The recommen- dations PG and #6 concerning pharmaceutical inventories and invoices will be implomentk, Reconandation 07 to raise the amount of the current $25,000 fidelity bond was discus's r The Board members agreed that the fidelity bond coverage should be raised to $60,000; ? ' I Mr. Hilz moved that the fidelity bond be raised tp $60,000, and the ti on s8 econded y and passed by voice vote, The cost of the fidelity bond coverage wni be14 year. Mrs. Fritz reviewed the financial statements and the monthly financial report for ± January, 1979. She noted that the average daily census for January was 92.60 with the i. year-to-date nveragqo daily census being 84.4. There was a rret profit in January of l $22,400 and a net toss year-to-dato of $66,023, Mrs. Fritz stated that the Medicare I reimbursement rate has been changed from 91% to 76% in an effort to prevent a large pey- Ewant due to Medicare at the end of this fiscal year. The Charity Charge-Off List in thhe amount of $9,818.60 was reviewed. Mrs, Gray stated that she fools the public needs to ,I be more aware of the fact that row is not a charity hospital-that the patients are expected to pay their bills, She stated examples of patients who had toid.her they felt l they awed the hospital nothing, thinking that Flow is a charity hospital. Mrs, Lester announced that the new clerk in the k-Ray Department is collecting from out-patients and thereby increasing the co,ilection rate in this area, Also, Mrs, 'Lester stated that the Eli clerks are collecting more money, even thouggh the number of ER patients seen is de- creasing slightly. Mr. Ililz moved that the financial statements and Charity Charge-Off P: List be approved; this was seconded and passed by voice vote, a The Utilization Review Report was reviewed by Mr, Watson, All Medicare and Medicaid' and a random sampling of non-governmental admissions were reviewed and Justified, Mr. Moore moved that the utilization Review Report be approved, this was seconded and passed E by voice vote. T.'.Sblf`20t'tl3` IS:J'tilt:'.YYh=SJ1CYY.Y.2tkL~~-CaCitY'Y:tST'h""h"•.h'M L^.... if9LT CLClY1FY'tYL'f 1Y~l11WIY3" t'LL['3SJL'.'RYfYJC"...SIl:Y'~-ifiLi-'YCYC'~Y. r rz. a BOARD OF DIRECTORS,. _ _ _ :F BUSINESS MINUTES ne+o februar-y: 21,,:-.197/ p'9' In his Administrator's Report, Mr, Watson reported on the American College of Hospital Administrators meeting which he had attended recently. Ho also reported on 1 a joint meeting of the City and County which he had attended concerning joint funding of flow Memorial Hospital. In an effort to resolve the dispute concerning whether or not the city and/or, the County is responsible for the charit,, care in Denton County, another opinion from the Attorney General of Texas will be solicited. A copy of the agreement between the City and County concernin funds for the ho pital ail) b submitted with the request for an op nlon. Mr. Nichols roved that the Adrof istra or's Deport be approvedi this was seconded and passed by voice vote, ` Dr, Dowling presented the Medical Staff Report and reviewed the minutes from the Medical Staff's Executive Committee Meeting. He noted that a recommendation from the Infection Control /Pharmacy and Therapeutics Committee regarding automatic stop orders for certain medications when ordered without specific referen6 to length of dosage had been discussed, The recommendation will be incorporated in an amendment of the p Medical Staff Bylaws. The Rules and Regulations and Bylaws Committee of the Medical , Staff submitted proposed changes to the Medical staff meeting on February 20, and 'a vote will be taken on April 17, The Executive Committee had approved a recommendation from the Patient Care Committee regarding the recording of nutritional information in the r"1 medical record. The application for appointment to the Courtesy Medical Staff from Albert L. Hirsch, M,D., had been rejected by the Executive Committee since the physician r is no longer working in the Emergency Room and because of an Incident which occured the [ last time he was on duty. Or, Dowling presented the applications for appointment to the Courtesy Medical Staff with privileges in the Emergency Room from Samuel T. Johnson, M.D., George Kulick, M.D., and Robert T.`MilamI M•0, Those three applications had been approved by the Credentials Committoe, the Critical Caro Committee, and the Executive Committee. Mr. Moore moved that the Board of Directors approve the appointment of Dr. Johnson, i Dr, Kulick, and Dr. Milam to the Courtesy Medical Staff and not approve the appointment of Dr, Hirsch; this motion was seconded and passed by voice vote, Mr. Watson presented a list of equipment needs for the Cardiopulmonary Department, which the hospital will begin to operate on March 16, 1979, sans contract with Respiratory i Therapy Services, Inc. The list included $12,477,60 equipment from National Mediquip, Inc $18,600 equipment from Corning, Inc, $17,600 equipment from Inex, Inc., and $8,512 equip- ment from Respiratory Therapy Services which is currently now in the department--or ata of $57,089,60. This list of equipment was discussed and approved, following a motion Mr, Nichols, a second, and a voice vote. A proposal from General Ta1ophone to install their Computerized Branch Exchange communications system in Plow Memorial Hospital was distributed. Mr. Watson asked that t 3 the Board members review and evaluate the proposal so that it could be considered at the March Board Meeting, There was no further business, and the meeting was adjourned at 9:05 p.m, 1 j Respectfully submitted, iv A. E. Wyatt, Chairman Acting Secretary gm i Y I 1 :.•zre..xc raxv:4.-vs~•.t:xs-z z. rr c_,. r.. r..., -.<'z sr~•cv s•.--r,-~::x~:~er.irrnv:~rxc•resa`: •.:._r~.xr_.ii r - J r t[ i. };i i• (e ~a ,fie Y:~'-, ~2a y; BOARD OF DIRECTORS Pogo BUSINESS MINUTES n.~a January 18,_ 1979 The Board of Directors of Flow Memorial Hospital.met In , regular session Der ( p.m. on Thursday, January 18, 1979 with Mr. A. E. Wyatt, I Brad Moore) Mr, Bob Bcard members present were Dr. A. M. Finlay, Mr. George liilz, 4r. Nichols, and Mr. Gray Shelton, Also present were Dr. James Dowling, Mrs. Carolyn Flowers, Miss Ho ly Hervey, Mrs, Margaret Lester, Mrs. Gloria MidewelI, Miss Cokey hiilla` and r!' Leonard Watson. The minutes of the previous meeting were approved following a motion by Mr. Mooro and a second. Mr. Hilz asked Mrs. Fritz to review the monthly financial report and the financial statements. Mrs. Fritz explained that the average daily census for December was 74,0. For the month of December, expenses exceeded revenue $59,638; for year-to-date, expenses exceeded revenue by $88,380. She explained that the 3B Unit had shown a $16,$07 profit for the month. Mr. Watson noted that a low census and low revenue month had been expected, and adjustments had been made to keep expenses down; otherwise, the loss twou held have been greater. The Bad Debt Charge-Off List in the amount of $419,241,53 Charity Charge-Off List in the amount of $28,777.53 were reviewed. There was some concern expressed over the high amount of bad debts. The members were asked to review their copies of the bad debt list and notify Mrs, Flowers if they have information concerning any of the accounts. The list will be turned over to a collection agency next week, Mrs, Flowers noted. Mr. Hilz moved that the Finance Report, financial state- ments and Charge-Off Lists be approved; this motion was seconded and passed by voice vote, Mr. Nichols reviewed the minutes of the Flow Foundation and announced that the t Foundation was in favor of providing the funds for the monitors and telemetry for the ( Coronary Care Unit and Progressive Care Unit, as well as four beds and a life Pack V for the units, The Foundation had, however, rejected a proposal to purchase a new portable x-ray machine because they desired to d versify their funding to other depart- ments within the hospital. Mr. Mocr6 moved that the Board approve the Foundation Report this motion was seconded and passed by voice vote. The Utilization Review Report was given by Mr. Watson, who read the minutes of the Utilization Review Committee's last meeting. He explained the pprocess involved t.t 'i with the reviewing and that Medicare, Medicaid, and non-governmental admissions are reviewed for Justification. Mr. Moore moved that the Utilization Review Report be ; approved; this was seconded and passed by voice vats. and read the minutes of the eoted the Medical Staff Report Dowling presented es January Dr. meeting p of the Executive from Virgil 14, Mayabb, M.D. application I! e E ecutive Committee. An to the Courtesy Medical Staff with privileges in the Emergency Room had boon approved by the Executive Committee, and was presented for review, The re-appointment applicatio 4 from Jerry H. Damon, MAD. for the Courtesy Medical Staff with privileges in general surgery had been approved and was distributed for review. Dr. Dowling announced that the executive Committee had endorsed the proposal from Numed Systems, Inc, to provide the physician coverage of the Emergency Room, Mr. Shelton moved that the Medical Staff i Report be approved, as well as the applications from Dr. Mayabb and Dr, Damon. This I motion was seconded and passed by voice vote. I In his Administrator's Report Mr. Watson announced that the new group health and life insurance program had been well received by the employees. Ile announced that ; ( efforts are being taken to correct deficiencies noted at the last Joint Commission on Accreditation of Hospitals survey before the survey team arrives -in April. Mr. Watson stated that he had meet with the new Denton County Judge this week to introduce himself t x, and briefly outline some of the programs of the hospital. I1r. Watson steed ghat he " plans to take a one quarter page advertisement in the Denton Record Chron cle s Progress ' 1 _..~.........»...rvw..s.,.,....,.,--.»wevnvaltlFpp~Jy . ' •~I ' 3 1 1y ( l vA'--t s. 'I"4 i1V• '~r.l L'( ~ 7t yl 3y. Ik w ~ , BOARp OF p1RR:CTORS r BUSINESS MINUTES n~~, January iB, 1979 _ _ _ _ _ P^ge ~ _ ' ~ Edition. The Board members were: in favor of thi's advertisement, and they further , suggested that additional advertisements be placed to keep the public informed of-the programs and progress of Flow Memorial Nespital. Mr, Watson discussed a package proposal to purchase the new monitors and telemetry equipment, 4 beds and a Life Pack~5 for the Coronary Care Untt and progressive Care Unit at an approximate total cost of $54,000. This equipment could be 1easedfpurchased oq a 80 month time period with the Flow Foundation reimbursing the hospital for the monthly payment, hlr, Moore moved that the Board approve the purchase of the monitors and telemetry equipment, 4 beds and E.ife pack 5 and that the Foundation be presented with the proposal. Phis motion was seconded and passed by voice vote. Mr. Watson discussed the need for a new portable x-ray machine and recommended ? that a new machine be ppurchased at the cost of $12,550, Mr, Nichols moved that the Board approve the purchase of the portable x-ray machine; this motion was seconded si, and passed by voice vote. , t, ;,r: "s ' Mr. Watson discussed the Hoed to pur.chasa equipment for the Cardiopulmonary i ~ Department when the contract with Respiratory Therapy Services expires, Currontly,ti++~ all equipment in the department is owned by 127S, Mr, Watson has asked #'or a quote frem Ri'S on some of the equipment which the hosppital r~ouid like to purchase from RTS. Further information wi11 be prusented at the February meeting, s<', ~ i -hlr. Watson asked far approval to attend the American College of Hospital Administrators Congress in Chicago February 21-24, and this was approved. An alternate date for the February Board Meeting was discussed since Mr. Watson tai 11 be out of town, l'he Board rnembors will be asked for suggestipns for an alternate ~ r' ~ date. There was no further business, and the meeting was ad~nurned at x;20 p,m, ~ Respectfully submitted, C` ~ Gray Sha1ton Serretary ~ gm y~ I 5 I F{{kF I F•J ~ i ~ t r , 3 P i r a ' ~ [7, I , r s l k r , I a '<i ~ : - .q i ~ . ~ r. < , 1 j i~ ~5 S r 1 "P i i 1,1 ~ ~ ~ r s i